Epidural Hematoma After Parasagittal Interlaminar Cervical Epidural Steroid Injection: A Case Report
Masoud Hashemi1, Sina Hassannasab1, Sogol Asgari1
1Shahid Beheshti Medical University, Anesthesiology and Pain Medicine Department, Tehran, Iran.
Background:
Cervical radiculopathy and radiculitis cause neck pain and conservative treatments are the first step. A cervical epidural steroid injection (CESI) can help if other treatments fail, but it could have side effects and serious complications. This case report describes a rare complication (epidural hematoma) of parasagittal interlaminar CESI (PCESI).
Case Report:
A 62-year-old woman, candidate for the right PCESI, complained of unrelieved pain in the injection site after the procedure. Due to a decrease in movement, sensation, and muscle force, epidural hematoma was suspected. She was transferred to the hospital. In magnetic resonance imaging, a hematoma was evident. After 72 hours under surveillance, the hematoma was absorbed, and she fully recovered.
Conclusions:
Epidural hematoma is an infrequent complication of CESI. This report may be an alarm to consider this complication, specific to this technique, which may be due to vascular anatomy.
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