ArticleMedicine2019
Spinal epidural hematoma occurring at a distance from the transforaminal epidural injection site: A case report.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Consensus practice guidelines on sacroiliac joint complex pain from a multispecialty, international working group.Pain medicine (Malden, Mass.) · 2025Guideline
- [Percutaneous therapy for back pain : Epidural and perifacet therapies].Radiologie (Heidelberg, Germany) · 2026Review
- Is a case of one thromboembolic event one too many?Interventional pain medicine · 2026Article
- Perineural hematoma following lumbar injection presenting as a neurosurgical emergency.Einstein (Sao Paulo, Brazil) · 2025Article
- Epidural hematoma treated by aspiration after transforaminal epidural steroid injection - A case report.Anesthesia and pain medicine · 2021Article
- Complications Associated with Lumbar Transforaminal Epidural Steroid Injections.Current pain and headache reports · 2020Review
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleTransforaminal epidural steroid injection (TFESI) is a conservative method to treat back pain due to radiculopathy. However, epidural hematoma can occur after the procedure by various mechanisms, which can cause serious complications. PATIENT CONCERNS: An 82-year-old man with spinal stenosis was treated with TFESI in the right intervertebral foramen at the L2-L3 level. The next morning, he experienced severe back pain and diffuse motor deficit. DIAGNOSIS: Emergency magnetic resonance imaging revealed fluid collection in the posterior epidural space at the T11-L1 level with central-canal stenosis.
interventionsEmergency hematoma evacuation was performed to remove the epidural hematoma. OUTCOMES: After the surgery, the back pain disappeared. LESSONS: Epidural hematoma may occur due to causes other than direct needle injury after TFESI. Therefore, careful observation of the patient is necessary after the procedure.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.