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Korean Journal of Anesthesiology 1999;36(1):172-174.
DOI: https://doi.org/10.4097/kjae.1999.36.1.172   
Generalized Ecchymosis after Volumetric Caudal Steroid Injection for Lumbar Radiculopathy: A case report.
Seng Ju Jung, Seung Gu Lee, Tae Sung Kim, Hyun Soo Kim, Kwang Min Kim
Department of Anesthesiology, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Epidural steroid therapy is a commonly applied "conservative" therapy in the management of acute and chronic back pain, but it is not inherently benign. As the indications for epidural steroid injections increase so do the reports of adverse responses associated with this procedure. Although generalized erythema, retinal hemorrhage, infection, and lipomatosis have been reported, acute generalized ecchymosis has not been reported as a complication of either caudal or spinal epidural steroid injection. We describe here an unique case of transient, profound generalized ecchymosis after receiving an caudal epidural steroid injection for lumbar radiculopathy.
Key Words: Anesthesia, caudal epidural; Pharmacology, steroid; Complication, ecchymosis


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