Muro Kenji, O'Shaughnessy Brian, Ganju Aruna
Department of Neurosurgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, 60611, USA.
J Spinal Cord Med. 2007;30(4):385-8. doi: 10.1080/10790268.2007.11753957.
BACKGROUND/OBJECTIVE: Transforaminal 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.
We performed a retrospective chart review of a single case.
The 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.
This 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.
背景/目的：经椎间孔硬膜外类固醇注射是一种广泛应用于治疗颈神经根性疼痛和轴性疼痛的非手术策略。该技术已被证明在缓解患者症状方面有效。尽管有效，但该手术存在一系列可能的并发症。我们报告了一例在多级经椎间孔硬膜外类固醇注射后发生颈脊髓急性梗死的患者病例。
我们对单个病例进行了回顾性病历审查。
尽管在手术过程中使用了多种技术来尽量减少血管损伤的发生，但患者仍发生了急性脑干和颈脊髓梗死。经过药物和物理治疗，患者恢复了一些功能。
据我们所知，这种并发症在文献中仅另有2次报道，它提醒人们在神经系统附近进行手术可能会带来毁灭性后果。
