Acute cervical myelopathy with quadriparesis after cervical transforaminal epidural steroid injection

Autor:	Yang, Chunwoo, Kim, Na Eun, Beak, Jee Sun, Tae, Na-Young, Eom, Byeong Hun, Kim, Byung-Gun
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	complications spinal cord Injections Epidural Middle Aged Quadriplegia Magnetic Resonance Imaging Methylprednisolone epidural cord injury injection Acute Disease Cervical Vertebrae case report Humans Female Clinical Case Report Radiculopathy Glucocorticoids Research Article
Zdroj:	Medicine
ISSN:	1536-5964 0025-7974
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::96c806fe53f860720cef4ec86ac7c7b2 http://europepmc.org/articles/PMC6922480 Zobrazit plný text záznamu