PDF

Abstract

1. 2025;9;9-14 Epidural Hematoma After Parasagittal Interlaminar Cervical Epidural Steroid Injection: A Case Report
   Case Report
   Masoud Hashemi, MD, Sina Hassannasab, MD, Sogol Asgari, MD, and Narges Bazgir, MD.

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.

PDF