ArticleAnnals of rehabilitation medicine2015
Cervical Meningomyelitis After Lumbar Epidural Steroid Injection.
Article in Annals of rehabilitation medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- [Injection treatment for cervical and lumbar syndromes: principles, indications and general performance].Orthopadie (Heidelberg, Germany) · 2023Article
- [Application of image-guided injection for cervical and lumbar syndromes].Zeitschrift fur Rheumatologie · 2020Article
- Infection Risk of Lumbar Epidural Injection in the Operating Theatre Prior to Lumbar Fusion Surgery.Journal of pain research · 2020Article
- An epidural steroid injection in the 6 months preceding a lumbar decompression without fusion predisposes patients to post-operative infections.Journal of spine surgery (Hong Kong) · 2018Article
- [The application of different injection methods for cervical and lumbar syndromes].Schmerz (Berlin, Germany) · 2018Article
- [Injection therapy for cervical and lumbar syndromes].Der Orthopade · 2017Review
- Timing and prognosis of surgery for spinal epidural abscess: A review.Surgical neurology international · 2015Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Epidural steroid injections (ESI) are a common treatment for back pain management. ESI-related complications have increased with the growing number of procedures. We report a case of cervical meningomyelitis followed by multiple lumbar ESI. A 60-year-old male with diabetes mellitus presented to our hospital with severe neck pain. He had a history of multiple lumbar injections from a local pain clinic. After admission, high fever and elevated inflammatory values were detected. L-spine magnetic resonance imaging (MRI) revealed hematoma in the S1 epidural space. Antibiotic treatment began under the diagnosis of a lumbar epidural abscess. Despite the treatment, he started to complain of weakness in both lower extremities. Three days later, the weakness progressed to both upper extremities. C-spine MRI revealed cervical leptomeningeal enhancement in the medulla oblongata and cervical spinal cord. Removal of the epidural abscess was performed, but there was no neurological improvement.
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