Journal
MEDICINE
Volume 98, Issue 50, Pages -Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000018299
Keywords
case report; complications; cord injury; epidural; injection; spinal cord
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Funding
- Inha University [57848-01]
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Rationale: Cervical transforaminal epidural steroid injection (TFESI), can be an effective tool to improve pain associated with cervical radiculopathy. However, complications related to the procedure have been reported. Patient concerns: A 50-year-old woman who experienced acute cervical myelopathy with quadriparesis after cervical TFESI under fluoroscopic guidance. Diagnoses: The initial post-procedure cervical MRI revealed acute cervical myelopathy Interventions: She received 1000mg of methylprednisolone was injected intravenously daily for 3 days Outcomes: Improvement in pain, with the only remaining complaints consisting of lingering mild pain in the left hand and occasional hypoesthesia Lessons: Cervical TFESI, despite careful fluoroscopic localization, resulted in spinal cord injury. A spinal cord injury may be treated with conservative treatments, such as medication and rehabilitation.
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