• A & A case reports · Jul 2014

    Pneumocephalus after lumbar epidural steroid injection: a case report and review of the literature.

    • Aubrey V Verdun, Steven P Cohen, Bryan S Williams, and Robert W Hurley.
    • From the *Department of Pain Medicine, Walter Reed National Military Medical Center, Bethesda; †Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore; ‡Department of Anesthesiology, Kaiser Permanente, Gaithersburg, Maryland; and §Department of Anesthesiology, University of Florida, Gainesville, Florida.
    • A A Case Rep. 2014 Jul 1;3(1):9-13.

    AbstractPneumocephalus may occur after inadvertent injection of air into the subarachnoid space while performing epidural anesthesia using a loss-of-resistance technique with air in the syringe. We report a case of pneumocephalus after an interlaminar epidural steroid injection using the loss-of-resistance to air technique. In this report, we examine the etiology, the expected course of symptoms, and resolution, as well as treatment, of pneumocephalus following a systematic literature review.

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