Pneumorrhachis and Pneumocephalus with Severe Chest Pain Symptom: A Rare Complication of Epidural Steroid Injection

Dear Editor, Pneumorrhachis and pneumocephalus are unusual complications of inadvertent dural puncture. We present the case of pneumorrhachis and pneumocephalus in a patient with lumbar spinal stenosis who was performed epidural steroid injection by using loss of resistance technique to air. A 37-year-old man with the history of spinal stenosis, low back pain, bilateral leg pain, and neurogenic claudication was performed epidural steroid (80 mg metil prednisolone) injection in another pain clinic. He complained of severe chest pain and headache aproximately 1 hour after epidural injection in the recovery room. The anesthesiologist who attempt epidural steroid …