Management Of Spinal Epidural Abscess Following Lumbar Epidural Steroid Injections

Authors

Luu Pham, Oakland University William Beaumont School of Medicine Medical Student
Jeremiah Fowler, Beaumont Health Resident
Roy G. Soto, Beaumont Health

Document Type

Conference Proceeding

Publication Date

10-24-2022

Abstract

We present a case of a 66-year-old obese female with a history of spinal stenosis who presented for 1-week of persistent back pain and heart palpitation despite two lumbar epidural steroid injections at two different facilities. She developed radiating bilateral lumbar paraspinal pain. MRI showed a large ring-enhancing-abscess encasing most of the cervical, thoracic and lumbar spine, which prompted antibiotics and urgent debridement, multiple level laminectomies and two additional reoperations. Postoperative recovery was complicated by seizure, gait instability, and declined mental status. We discuss risk factors and optimization strategies to reduce the risk of infection following lumbar epidural steroid injection.

Comments

American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.

Recommended Citation

Pham L, Fowler J, Soto R. Management strategy for spinal epidural abscess following lumbar epidural steroid injections. Presented at: American Society of Anesthesiology Annual Meeting; 2022 Oct 21-25; New Orleans, LA.