• Kenji Muro, Brian O'Shaughnessy, and Aruna Ganju.
• Department of Neurosurgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, 60611, USA. kenji.muro@nmff.org
• J Spinal Cord Med. 2007 Jan 1;30(4):385-8.

Background/ObjectiveTransforaminal 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.MethodsWe performed a retrospective chart review of a single case.ResultsThe 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.ConclusionsThis 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.

19 keywords...

hide…