Management of Cervical Epidural Hematoma After Cervical Epidural Steroid Injection Using a Catheter Technique

Palmer, Elliot

doi:10.1093/pm/pnz220

Cited by 6 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 1 , 4 , 7 , 8 ] CESI may contribute to spinal epidural hematomas and intramedullary cord injections/hematomyelia. [ 2 , 3 , 5 , 6 , 9 ] In this case, the patient’s the MRI-documented intramedullary C3-C6 cystic lesion proved at surgery (i.e. midline myelotomy) to be a chronic intramedullary hematoma.…”

Section: Discussionmentioning

confidence: 88%

Spinal intramedullary hematoma presenting years following a cervical epidural injection

Aljuboori

Williams

2021

Surgical Neurology International

View full text Add to dashboard Cite

Background: Intramedullary cervical cystic lesions are typically attributed to tumors, infection, or trauma. Here, a patient newly presented with quadriparesis due to a chronic cervical intramedullary hematoma attributed to a cervical epidural steroid injection (CESI) performed 4 years earlier. Case Description: A 38-year-old patient had a CESI in 2014. Resulting in a transient quadriparesis attributed to an inadvertent intramedullary cord injection. Now, at age 42, she presented with a recurrent cervical myelopathy due to an MR-documented C3-C6 intramedullary cystic lesion that at surgery proved to be a chronic liquified hematoma rather than a syrinx. Conclusion: CESI can result in inadvertent intramedullary hemorrhages and spinal cord injuries. Here, a 42-year-old female presented with recurrent myelopathy due to a chronic intramedullary C3-C6 cervical hematoma attributed a prior intramedullary CESI injection performed 4 years previously.

show abstract

Section: Discussionmentioning

confidence: 88%

Spinal intramedullary hematoma presenting years following a cervical epidural injection

Aljuboori

Williams

2021

Surgical Neurology International

View full text Add to dashboard Cite

show abstract

“…Despite the benefits, the use of epidural catheters involves careful monitoring and carries specific risks; considerations of neurovascular structures and the risk of epidural hematomas, as described by Palmer [ 8 ], should be made prior to pursuing this technique. The use of fluoroscopy and loss-of-resistance techniques minimizes the risk of direct spinal cord contact and damage to the spinal cord.…”

Section: Discussionmentioning

confidence: 99%

Epidural Catheters for Cervical Epidural Steroid Injections to Target Higher Cervical Pathology: Clinical Images in Practice

Vu,

Robinson,

Chen

et al. 2023

Cureus

View full text Add to dashboard Cite

Cervical radicular pain is commonly treated with cervical epidural steroid injections. The transforaminal approach allows for direct treatment of the steroid at a particular nerve root or level. Still, it carries a significant risk of morbidity and mortality with thromboembolism or injury to cervical vasculature. The interlaminar approach is commonly utilized as it avoids vascular structures. However, the epidural space becomes narrower at higher levels, limiting the ability to perform this approach at higher cervical levels. Cervical epidural catheters can be used and advanced to target higher cervical pathology through the interlaminar approach. We present clinical images demonstrating the utility of a cervical catheter for treating higher cervical levels.

show abstract

Reclaiming confidence in cervical transforaminal epidurals: Dispelling myths and ensuring safety

Narouze

2024

Interventional Pain Medicine

View full text Add to dashboard Cite

Management of Cervical Epidural Hematoma After Cervical Epidural Steroid Injection Using a Catheter Technique

Cited by 6 publications

References 5 publications

Spinal intramedullary hematoma presenting years following a cervical epidural injection

Spinal intramedullary hematoma presenting years following a cervical epidural injection

Epidural Catheters for Cervical Epidural Steroid Injections to Target Higher Cervical Pathology: Clinical Images in Practice

Reclaiming confidence in cervical transforaminal epidurals: Dispelling myths and ensuring safety

Contact Info

Product

Resources

About