Foraminal Hematoma Following Lumbar Transforaminal Steroid Injection Causing Reversible Motor Deficit: A Case Report

Mohammed Alyousef and Mikael Orabi
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Mikael Orabi: Department of Neurosurgery, Lariboisière Hospital, France

Open Access Journal of Neurology & Neurosurgery, 2017, vol. 3, issue 5, 73-75

Abstract: Perineural hematomas are a potentially serious complication of transforaminal epidural steroid injections (TFESI), which are widely used for the treatment of lumbar radicular pain. We present the case of a 70-year-old man with perineural hematoma affecting the L5 nerve root in the lateral recess, resulting in a progressive L5 motor deficit following TFESI. Gadolinium-enhanced Magnetic resonance imaging (MRI) showed a mass consistent with a hematoma occupying the lumbar canal and extending into the right L4-L5 foramen. Surgical evacuation of the hematoma corrected the motor deficit. It is important that physicians are aware of this possible TFESI complication and that closer patient follow-up examinations may be beneficial.

Keywords: Open Access Journal of Neurology; Journal of Neurology & Neurosurgery; Open Access Journal; juniper publishers; neurology open access journals; journal of neurology; neurology indexed journals; neurology scholarly journals; journal of neurology; neurology journals impact factor; juniper publishers reivew (search for similar items in EconPapers)
Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joajnn:v:3:y:2017:i:5:p:73-75

DOI: 10.19080/OAJNN.2017.03.555623

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