Masoud Hashemi, Sina Hassannasab, Sogol Asgari, Narges Bazgir
{"title":"Epidural Hematoma After Parasagittal Interlaminar Cervical Epidural Steroid Injection: A Case Report.","authors":"Masoud Hashemi, Sina Hassannasab, Sogol Asgari, Narges Bazgir","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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).</p><p><strong>Case report: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":520525,"journal":{"name":"Pain medicine case reports","volume":"9 1","pages":"9-14"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain medicine case reports","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
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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