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- A B Cooper and M D Sharpe.
- Department of Anaesthesia, University Hospital, London, Ontario.
- Can J Anaesth. 1996 May 1; 43 (5 Pt 1): 471-4.
PurposeTo describe a rare adverse outcome resulting from lumbar epidural steroid injections for the treatment of chronic lower back pain.Clinical FeaturesWe report a case of staphylococcus aureus meningitis and cauda equina syndrome following a series of epidural steroid injections for chronic back pain. Although rare, bacterial meningitis following epidural analgesia has been reported, but epidural steroid injections have not been associated with either bacterial meningitis or cauda equina syndrome. The causal relationship between epidural steroid injections, bacterial meningitis, and cauda equina syndrome is discussed.ConclusionA through pre-procedure assessment with attention to the neurologic examination and signs/symptoms of infection is essential.
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