Medication-induced mood disorders following epidural steroid injections in patients with pain: A case series

Christian T Vangeison; Joseph P Roys; Marissa N Catalanotto; Wyatt I Kupperman; Alexander R Kovacs; Dan Sebastian Dîrzu; Emanuel N Husu

doi:10.1002/ccr3.7415

Medication-induced mood disorders following epidural steroid injections in patients with pain: A case series

Clin Case Rep. 2023 May 25;11(6):e7415. doi: 10.1002/ccr3.7415. eCollection 2023 Jun.

Authors

Christian T Vangeison¹, Joseph P Roys¹, Marissa N Catalanotto¹, Wyatt I Kupperman¹, Alexander R Kovacs², Dan Sebastian Dîrzu³, Emanuel N Husu^{1

4}

Affiliations

¹ H. Ben Taub Department of Physical Medicine & Rehabilitation Baylor College of Medicine Houston Texas USA.
² University of Buffalo Jacobs School of Medicine Buffalo New York USA.
³ Anesthesia and Intensive Care Department Emergency County Hospital Cluj-Napoca Cluj Napoca Romania.
⁴ Department of Clinical Sciences, Chicago Medical School Rosalind Franklin University of Medicine and Science North Chicago Illinois USA.

Abstract

Key clinical message: Medication-induced mood disorders following epidural steroid injections are possible therefore should be disclosed to the patient.

Abstract: Medication-induced mood disorders have been rarely reported following epidural steroid injections (ESI). This case series presents three patients who met the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for substance/medication-induced mood disorder after an ESI. In considering a candidacy for ESI, the rare but significant, side effects of psychiatric side effects should be disclosed to patients.

Keywords: case report; epidural steroid injection induced mood disorder; medication‐induced mood disorder; substance‐induced mood disorder.

Publication types

Case Reports