Complete cauda equina syndrome after caudal epidural steroid injection: a case report

Epidural caudal steroid injections are commonly used to relieve radicular pains. If minor complications have widely been reported, few major complications have been described. This case presentation reports a cauda equina syndrome following caudal epidural injection. The magnetic resonance imaging [MRI] performed revealed a hematoma inside a caudal meningocele. A surgical drainage of the hematoma was performed, in emergency, leading to symptoms relief. Caudal meningocele diagnosed by MRI before caudal steroid injection could represent a contraindication for this type of procedure