A case of spinal cord infarction following lumbar transforaminal epidural steroid injection: MR imaging and angiographic findings.
Spinal cord infarction following lumbar transforaminal epidural steroid injection is a rare and devastating complication. We describe the case of a 55-year-old woman who developed spinal cord infarction following right L2-3 transforaminal epidural injection, diagnosed on the basis of clinical and MR imaging findings. Spinal angiography demonstrated occlusion of the right L2 segmental artery with reconstitution of the radicular branch from collaterals. The artery of Adamkeiwicz could not be demonstrated and was presumably occluded by the steroid injection.
Division of Radiological Sciences, Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.
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EM
Lyders
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Morris
D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000209:etiology*; D007268:Injections, Epidural / Q000009:adverse effects*; D008159:Lumbar Vertebrae; D018810:Magnetic Resonance Angiography / Q000379:methods; D008875:Middle Aged; D013116:Spinal Cord / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000473:pathology; D020760:Spinal Cord Ischemia / Q000175:diagnosis* / Q000209:etiology*; D013256:Steroids / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed / Q000379:methods
D013256:Steroids