Iatrogenic Spinal Epidural Hematoma Associated with Intracranial Hypotension.

摘要: Epidural steroid injections (ESIs) are one of the few modalities currently in use for treating chronic spinal pain. There two approaches: interlaminar ESIs and transforaminal ESIs. Complications arising from either approach rare, but such complication is cerebrospinal fluid (CSF) leak leading to intracranial hypotension. Even rarer development iatrogenic epidural hematoma context injections. Interestingly, an association with hypotension has yet be established. characteristics not well defined as there different theories how this develops whether we dealing arterial or venous blood. Our case unique it appears our patient had developed one, both clinical symptoms supportive a CSF induced iatrogenically cervical injection imaging demonstrated thoracic-level hematoma. It unclear directly led causing hypotension, which then brought on formation if independent each other. From practice standpoint, given suggests was concomitantly associated possibility exists that may have formed targeted blood patches need done greater urgency preventing formation. Further studies needed involving clotting factors comparing also puzzling why did clot leak. This concomitancy deserves further attention lead changes manage patients who found