title: An unusual complication following caudal epidural steroid injection: a case report.
abstract: The authors present a case in which paraplegia developed following administration of caudal epidural steroid injection (ESI) and discuss the different pathophysiological mechanisms involved. The authors strongly recommend that 0.5% bupivacaine should be used with caution for caudal epidural injection.
authors.affiliation: Spinal Unit, Salford Royal Hospital, Salford, United Kingdom. brindavihari2001@yahoo.com
authors.forename: Brinda Vihari
authors.initials: BV
authors.lastname: Somanchi
authors.forename: Saeed
authors.initials: S
authors.lastname: Mohammad
authors.forename: Raymond
authors.initials: R
authors.lastname: Ross
mesh_terms: D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects*; D007405:Intervertebral Disc Displacement / Q000188:drug therapy; D008875:Middle Aged; D010264:Paraplegia / Q000209:etiology*; D013117:Spinal Cord Compression / Q000188:drug therapy; D013256:Steroids / Q000008:administration & dosage*; D014221:Triamcinolone / Q000008:administration & dosage
chemical_list: D000779:Anesthetics, Local; D013256:Steroids; D014221:Triamcinolone; D002045:Bupivacaine