• J Neuroimaging · Jan 2013

    Review Case Reports

    Stroke following epidural injections--case report and review of literature.

    • Alexandra Popescu, Daniel Lai, Angela Lu, and Kathy Gardner.
    • Department of Neurology, Epilepsy Division, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA.
    • J Neuroimaging. 2013 Jan 1;23(1):118-21.

    Background And PurposeTo describe a growing number of cases associated with spinal cord and posterior circulation ischemia as a complication of cervical epidural steroid injection (CESI).MethodsCase report and review of literature.ResultsSixteen 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.ConclusionInfarction is a rare but potentially devastating complication of CESI. It may occur despite the use of fluoroscopic guidance.Copyright © 2011 by the American Society of Neuroimaging.

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