Acute Cervical Subdural Hematoma with Quadriparesis after Cervical Transforaminal Epidural Block.
10.3340/jkns.2015.58.5.483
- Author:
Jun Kyu LEE
1
;
Ki Whan CHAE
;
Chang Il JU
;
Byoung Wook KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. jchangil@chosun.ac.kr
- Publication Type:Case Report
- Keywords:
Subdural spinal hematoma;
Cervical transforaminal epidural block;
Quadriparesis
- MeSH:
Headache;
Hematoma;
Hematoma, Subdural*;
Hematoma, Subdural, Spinal;
Infarction;
Injections, Epidural;
Neck Pain;
Punctures;
Quadriplegia*;
Radiculopathy;
Spinal Cord;
Vascular System Injuries
- From:Journal of Korean Neurosurgical Society
2015;58(5):483-486
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cervical epidural steroid injection is frequently used in the conservative management of neck pain and cervical radiculopathy. Epidural cervical transforaminal injections are usually well-tolerated with mild side effects such as transient decreased sensory and motor function, or headache due to dural puncture. Although there are a few case reports about adverse effects of cervical epidural injection in the literature, it can cause severe complications such as large hematoma, infarction by spinal vascular injury. Subdural hematoma has been occurred much less common rather than epidural hematoma in the spinal cord. We report a rare catastrophic case of cervical spinal subdural hematoma with quadriparesis after cervical transforaminal epidural block.
