title: Paraplegia After Thoracic Epidural Steroid Injection.
abstract: Epidural steroid injections are a common procedure performed by pain physicians. The American Society of Regional Anesthesia along with several other groups recently provided guidelines for performing epidural injections in the setting of anticoagulants. We present a case of a patient who developed an epidural hematoma and subsequent paraplegia despite strict adherence to these guidelines. Although new guidelines serve to direct practice, risks of devastating neurologic complications remain as evidenced by our case.
authors.affiliation: From the *Department of Anesthesiology, Henry Ford Hospital, Detroit, Michigan; and †Department of Neurology, Henry Ford Hospital, Detroit, Michigan.
authors.forename: Vivek
authors.initials: V
authors.lastname: Loomba
authors.forename: Hirsh
authors.initials: H
authors.lastname: Kaveeshvar
authors.forename: Samvid
authors.initials: S
authors.lastname: Dwivedi
mesh_terms: D015360:Analgesia, Epidural / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects; D008875:Middle Aged; D010264:Paraplegia / Q000139:chemically induced* / Q000000981:diagnostic imaging*; D013256:Steroids / Q000008:administration & dosage / Q000009:adverse effects*; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging* / Q000187:drug effects
chemical_list: D013256:Steroids