Infarction of the cervical spinal cord following multilevel transforaminal epidural steroid injection: case report and review of the literature.
OBJECTIVE
Transforaminal epidural steroid injection is a widely utilized nonsurgical strategy for the management of cervical radicular and axial pain. The technique has been shown to be efficacious in relieving the patients' symptoms. Although effective, there are a range of possible complications associated with this procedure. We report the case of a patient with an acute infarction of the cervical spinal cord after a multilevel transforaminal epidural steroid injection.


METHODS
We performed a retrospective chart review of a single case.


RESULTS
The patient suffered an acute brainstem and cervical spinal cord infarction despite the use of many techniques to minimize the occurrence of vascular injury during the procedure. The patient regained some function after medical and physical therapy.


CONCLUSIONS
This complication, to our knowledge, has only been reported in the literature on 2 other occasions and serves as a reminder of the potentially devastating consequences of performing procedures in proximity to the nervous system.
Muro
Kenji
K
Department of Neurosurgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, 60611, USA. kenji.muro@nmff.org
O'Shaughnessy
Brian
B
Ganju
Aruna
A
D000368:Aged; D005260:Female; D006801:Humans; D007238:Infarction / Q000188:drug therapy* / Q000209:etiology / Q000473:pathology; D007268:Injections, Epidural; D008279:Magnetic Resonance Imaging / Q000379:methods; D012189:Retrospective Studies; D012196:Review Literature as Topic; D013119:Spinal Cord Injuries / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D013256:Steroids / Q000008:administration & dosage*
D013256:Steroids