An Epiduroscopy Complication Mimicking a Subarachnoid Haemorrhage: Case Report

Authors

  • Antonello Curcio Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy. Author
  • Marcello Passalacqua Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy. Author
  • Gerardo Caruso Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy. Author
  • Fabio Cacciola Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy. Author
  • Giulio Di Noto Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy. Author
  • Rosaria Abbritti Department of Neurosurgery, Lariboisière Hospital, Paris, France. Author

DOI:

https://doi.org/10.47363/JDCRS/2023(4)151

Keywords:

Epiduroscopy, Back Pain, Subarachnoid Hemorrage

Abstract

Epiduroscopy is an endoscopic technique which permits to explore lumbosacral epidural interspace. It is a useful technique for pharmacological treatment in failed back surgery syndrome, which represents a chronic waist pain. Even if it is a risky procedure, epiduroscopy should be included in the diagnosis and treatment of patients whit post-surgical lower back pain. Several complications can occur during the procedure as infection, meningeal irritation, epidural
bleeding. We report a failed procedure with injection in subdural space causing headache, vomiting, seizures, and hyperthermia, mimicking subarachnoid hemorrage in CT scan. The radiological findings and neurological symptoms underwent rapid and spontaneous complete resolution. 

Author Biographies

  • Antonello Curcio, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

    Antonello Curcio, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

  • Marcello Passalacqua, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

    Marcello Passalacqua, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

  • Gerardo Caruso, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

    Gerardo Caruso, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

  • Fabio Cacciola, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

    Fabio Cacciola, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

  • Giulio Di Noto, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

    Giulio Di Noto, Department of Biomedical and Dental Science and Morphofunctional Imaging, Unit of Neurosurgery, University of Messina, Italy.

  • Rosaria Abbritti, Department of Neurosurgery, Lariboisière Hospital, Paris, France.

    Rosaria Abbritti, Department of Neurosurgery, Lariboisière Hospital, Paris, France.

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Published

2023-08-31

Issue

Vol. 4 No. 3 (2023): Volume 4 Issue 3

Section

Articles