title: Stroke following epidural injections--case report and review of literature.
abstract: OBJECTIVE
  To describe a growing number of cases associated with spinal cord and posterior circulation ischemia as a complication of cervical epidural steroid injection (CESI).
  
  
  METHODS
  Case report and review of literature.
  
  
  RESULTS
  Sixteen cases of spinal cord and posterior circulation ischemia were analyzed. Two cases had transient symptoms and 10 had long-term sequelae. Four resulted in death.
  
  
  CONCLUSIONS
  Infarction is a rare but potentially devastating complication of CESI. It may occur despite the use of fluoroscopic guidance.
authors.affiliation: Department of Neurology, Epilepsy Division, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Popescu
authors.forename: Daniel
authors.initials: D
authors.lastname: Lai
authors.forename: Angela
authors.initials: A
authors.lastname: Lu
authors.forename: Kathy
authors.initials: K
authors.lastname: Gardner
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007268:Injections, Epidural / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D011677:Punctures / Q000009:adverse effects*; D013256:Steroids / Q000008:administration & dosage* / Q000009:adverse effects*; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology
chemical_list: D013256:Steroids