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

Author

Listed:
  • Mohammed Alyousef
  • Mikael Orabi

    (Department of Neurosurgery, Lariboisière Hospital, France
    Division of Neurosurgery, King Abdulaziz University Hospital, Saudi Arabia)

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.

Suggested Citation

  • Mohammed Alyousef & Mikael Orabi, 2017. "Foraminal Hematoma Following Lumbar Transforaminal Steroid Injection Causing Reversible Motor Deficit: A Case Report," Open Access Journal of Neurology & Neurosurgery, Juniper Publishers Inc., vol. 3(5), pages 73-75, May.
    • Handle: RePEc:adp:joajnn:v:3:y:2017:i:5:p:73-75
    DOI: 10.19080/OAJNN.2017.03.555623
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