Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Fatal Complications Following to Epidural Steroid Injections for Lumbago and Sciatica - Case Report -

요통과 하지방사통에 대한 경막외 스테로이드 주입후 발생한 치명적 합병증 - 증례보고 -

  • Kim, Tae Joon (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Kim, Choong Hyun (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Cheong, Jin Hwan (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Bak, Koang Hum (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Kim, Jae Min (Department of Neurosurgery, College of Medicine, Hanyang University) ;
  • Oh, Suck Jun (Department of Neurosurgery, College of Medicine, Hanyang University)
  • 김태준 (한양대학교 의과대학 신경외과학교실) ;
  • 김충현 (한양대학교 의과대학 신경외과학교실) ;
  • 정진환 (한양대학교 의과대학 신경외과학교실) ;
  • 백광흠 (한양대학교 의과대학 신경외과학교실) ;
  • 김재민 (한양대학교 의과대학 신경외과학교실) ;
  • 오석전 (한양대학교 의과대학 신경외과학교실)
  • Received : 1999.08.10
  • Accepted : 1999.10.25
  • Published : 2000.03.28
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Abstract

Epidural steroid injection(ESI) has been a commonly applied conservative therapy for the management of chronic low back pain and sciatica. However, there are many reports concerning various local, systemic and neurological complications related to ESI. We report two cases with fatal complications after ESI for low back pain and sciatica. In both patients, ventriculitis and meningitis were causative factors to be fatal. Aseptic procedures and careful post-procedure assessment are essential to avoid serious complications following ESI.

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