Acute cervical myelopathy with quadriparesis after cervical transforaminal epidural steroid injection: A case report
Chunwoo Yang1, Na Eun Kim, Jee Sun Beak
1Department of Anesthesiology and Pain Medicine, College of Medicine, Inha University, Incheon, South Korea.
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 1000 mg 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.
