title: Epidural hematoma after routine epidural steroid injection.
abstract: BACKGROUND
  There are few reported cases of an epidural spinal hematoma following interventional pain procedures.
  
  
  METHODS
  We report a case of a spinal epidural hematoma in a patient with no known risk factors (e.g. coagulopathy), who underwent an epidural steroid injection (ESI) in the same anatomic location as two previously successful ESI procedures.
  
  
  CONCLUSIONS
  Early detection was the key to our case, and avoiding sedation allowed the patient to recognize the onset of a new neurological deficit, and lead to prompt diagnosis as well as surgical decompression of the resultant hematoma.
authors.affiliation: Department of Anesthesia and Pain Management, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
authors.forename: Azzam M
authors.initials: AM
authors.lastname: Alkhudari
authors.affiliation: Department of Anesthesia and Pain Management, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
authors.forename: Craig S
authors.initials: CS
authors.lastname: Malk
authors.affiliation: Department of Anesthesia and Pain Management, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
authors.forename: Abed
authors.initials: A
authors.lastname: Rahman
authors.affiliation: Department of Anesthesia and Pain Management, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
authors.forename: Taruna
authors.initials: T
authors.lastname: Penmetcha
authors.affiliation: Department of Anesthesia and Pain Management, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
authors.forename: Maria
authors.initials: M
authors.lastname: Torres
keywords: Epidural hematoma; epidural steroid injection; increased risk of neurological deficit; no long-term efficacy; paraparesis