Complications following intraspinal injections of steroids

Report of two cases

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  • 1 Departments of Neurology and Neurosurgery, The New York Hospital-Cornell Medical Center, New York, New York
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✓ Intraspinal steroids have been recommended for the treatment of sciatica and various other conditions. The procedure is controversial; moreover, evidence suggests that the steroid hormones can be delivered to the site of inflammation more easily by systemic administration. Serious complications that have arisen from the procedure are reviewed. The courses of two women who received intraspinal steroids for the treatment of sciatica and who developed severe meningitis as a consequence are reported. It is suggested that the value of intraspinal steroids in the treatment of disc-related sciatica is unproven and if they are used, one must be alert to the complications.

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Contributor Notes

Address reprint requests to: John H. Dougherty, Jr., M.D., Department of Neurology, The New York Hospital, 525 East 68th Street, New York, New York 10021.
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