{"id":"5ecef4f3-c76b-468d-a6e4-7243c1079354","slug":"spinal-intramedullary-hematoma-presenting-years-following-a-cervical-epidural-injection","title":"Spinal intramedullary hematoma presenting years following a cervical epidural injection","authors":["Zaid Aljuboori","Brian Williams"],"abstract":"Background: Intramedullary cervical cystic lesions are typically attributed to tumors, infection, or trauma. Here, a patient newly presented with quadriparesis due to a chronic cervical intramedullary hematoma attributed to a cervical epidural steroid injection (CESI) performed 4 years earlier. Case Description: A 38-year-old patient had a CESI in 2014. Resulting in a transient quadriparesis attributed to an inadvertent intramedullary cord injection. Now, at age 42, she presented with a recurrent cervical myelopathy due to an MR-documented C3-C6 intramedullary cystic lesion that at surgery proved to be a chronic liquified hematoma rather than a syrinx. Conclusion: CESI can result in inadvertent intramedullary hemorrhages and spinal cord injuries. Here, a 42-year-old female presented with recurrent myelopathy due to a chronic intramedullary C3-C6 cervical hematoma attributed a prior intramedullary CESI injection performed 4 years previously.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/5ecef4f3-c76b-468d-a6e4-7243c1079354/featured/hero-1781562079272.png","publishDate":"2021-08-30T00:00:00.000Z","doi":"10.25259/SNI_737_2021","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/5ecef4f3-c76b-468d-a6e4-7243c1079354/pdf"}