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

ABSTRACT

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