Fibrous Mass Complicating Epidural Steroid and Local Anesthetic Injection: A Case Report.
- Author:
Hak Sun KIM
1
;
Kyung Soo SUK
;
Nam Hyum KIM
;
Ki Deog KIM
;
Hwan Mo LEE
Author Information
1. Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea. hwanlee@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Nerve root compression;
Fibrous mass;
Complication;
Epidural steroid injection
- MeSH:
Anesthetics, Local;
Arachnoid;
Arachnoiditis;
Back Pain;
Epidural Space;
Granuloma;
Injections, Epidural;
Morphine;
Radiculopathy;
Sciatica;
Spinal Cord Compression
- From:Journal of Korean Society of Spine Surgery
1999;6(3):464-466
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The use of epidural injection of local anesthetics with steroid for the treatment of back pain and sciatica is a widely used procedure. There have been several reports about spinal cord compression by granuloma or fibrous mass related to intrathecal or epidural morphine injection. There have been also some reports about arachnoiditis after epidural injection of steroid. However, there have been no reports regarding dural sac or nerve root compression by fibrous mass after epidural steroid injections. We would report a case of dural sac and nerve root compression secondary to the formation of fibrous mass in the lumbar epidural space after epidural steroid and local anesthetic injections. In this case, the characteristic radiologic findings before and after epidural injection therapy and clinical progress were documented.
