• J Emerg Med · Nov 2017

    Pneumocephalus and Sixth Nerve Palsy after Epidural Steroid Injection: Case Report and Review of the Literature.

    • Wendy F Li, Kyle Kovacs, and Adeniyi A Fisayo.
    • Department of Ophthalmology and Visual Science, Yale School of Medicine, New Haven, Connecticut.
    • J Emerg Med. 2017 Nov 1; 53 (5): e89-e92.

    BackgroundPneumocephalus has been described as an unintended outcome after epidural injections. However, oculomotor palsy from pneumocephalus after epidural injection is very rare.Case ReportWe report a case of pneumocephalus-induced sixth nerve palsies and diplopia in an 87-year-old woman after epidural steroid injection. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Pneumocephalus-induced oculomotor palsy is a rare complication after epidural injection, a commonly performed medical procedure. Knowledge of this presentation will help emergency physicians distinguish between this entity and other causes of neurologic deficits.Copyright © 2017 Elsevier Inc. All rights reserved.

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