Epidural haematoma requiring surgical decompression following repeated cervical epidural steroid injections for chronic pain.
We report a case of epidural haematoma following a steroid injection into the cervical epidural space. The complication occurred on the seventh such injection over a 2 year period for chronic spinal pain. Surgical decompression over the seventh cervical and the upper 3 thoracic vertebrae was required to alleviate the symptoms of paralysis and anaesthesia. The patient subsequently required skin grafting to the surgical site and two trans-urethral resections of the prostate gland during his 6 week hospital admission. He made a full recovery.
Pain Relief Service, Charing Cross Hospital, London W6 8RF U.K. Dept. of Neurosurgery, Charing Cross Hospital, London W6 8RF U.K.
K N
KN
Williams
A
A
Jackowski
P J D
PJD
Evans
D002908:Chronic Disease; D006407:Hematoma, Epidural, Cranial / Q000150:complications / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009333:Neck; D010166:Palliative Care / Q000009:adverse effects* / Q000379:methods; D010243:Paralysis / Q000209:etiology; D012677:Sensation; D013256:Steroids / Q000008:administration & dosage* / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D013256:Steroids