Poster 171: Incomplete Spinal Cord Injury Following Thoracic Transforaminal Epidural Steroid Injection: A Case Report

PM&R ◽  
2010 ◽  
Vol 2 ◽  
pp. S79-S79
Author(s):  
James R. Babington ◽  
David J. Kennedy ◽  
Joshua D. Rittenberg
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Transforaminal Epidural Steroid Injection ◽  
Epidural Steroid

Paraplegia Following Epidural Steroid Injection

2016 ◽  
Author(s):  
Devin Peck
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Epidural Hematoma ◽  
Epidural Abscess ◽  
Steroid Injection ◽  
Epidural Steroid Injection ◽  
Anterior Spinal Artery ◽  
Cord Injury ◽  
Artery Of Adamkiewicz ◽  
Epidural Steroid

Paraplegia following epidural steroid injection is, fortunately, an exceedingly rare complication. The differential diagnosis includes epidural hematoma, spinal cord injury/infarction, epidural abscess, and conversion disorder. Less likely diagnoses include worsening of underlying pathology, a new compressing lesion, or subarachnoid injection. The artery of Adamkiewicz enters the spinal canal via the neural foramen and provides blood supply to the lower two thirds of the spinal cord via the anterior spinal artery. Avoidance of the artery during a transforaminal epidural steroid injection is facilitated by entering the inferior portion of the foramen. Acute management of neurologic complications arising from an epidural steroid injection is facilitated by rapid identification of etiology. In the case of epidural hematoma, avoidance of permanent deficit is more likely when patients undergo prompt decompression. The role of intravenous steroids in acute spinal cord injury is controversial. Chronic management includes extensive rehabilitation, including physical and occupational therapy. Treatment of musculoskeletal nociceptive pain, such as due to shoulder overuse, and neuropathic pain is vital to optimize the patient’s participation in rehabilitative therapy.   Keywords: Epidural Steroid Injection; Complications; Spinal Cord Injury; Epidural Hematoma; Epidural Abscess; Artery of Adamkiewicz; Anterior Spinal Artery Syndrome; Particulate Steroid; Fluoroscopic Guidance

scholarly journals Spinal Cord Infarction after Cervical Transforaminal Epidural Steroid Injection: Case Report and Literature Review

2017 ◽  
Vol 9 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Jangsup Moon ◽  
Hyung-Min Kwon
Keyword(s):  
Spinal Cord ◽  
Steroid Injection ◽  
Cervical Radiculopathy ◽  
Epidural Steroid Injection ◽  
Spinal Cord Infarction ◽  
Catastrophic Event ◽  
History Of ◽  
Transforaminal Epidural Steroid Injection ◽  
Active Rehabilitation ◽  
Epidural Steroid

Introduction: Transforaminal epidural steroid injection (TFESI) is a widely used nonsurgical procedure in the treatment of patients with radiculopathy. It is efficacious in relieving pain, but a number of complications are being reported. Recently, increasing frequency of major complications, such as spinal cord infarction and cerebral infarction, has been reported with the use of a particulate steroid within fluoroscopic-guided procedures. Methods: We report a 49-year-old man with a history of chronic cervical radiculopathy, who experienced a devastating complication after TFESI. Results: After 2 min of regular TFESI, the patient abruptly experienced muscle weakness in both upper extremities and within 5 min the patient became quadriplegic. Despite active rehabilitation, the patient remained bed-ridden 4 years after the catastrophic event. To our knowledge, this is the first reported case of spinal cord infarction that occurred after TFESI in Korea. Conclusion: Considering the risk of dreadful complications, which appear in an unpredictable manner, TFESI with fluoroscopic guidance should be done only with a nonparticulate steroid.

Outcomes following an adaptive rock climbing program in a person with an incomplete spinal cord injury: A case report

2019 ◽  
Vol 36 (12) ◽  
pp. 1466-1475
Author(s):  
Brittany DelGrande ◽  
Carrin LaCoppola ◽  
Gabriele Moriello ◽  
Kerrianne Sanicola
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Case Report ◽  
Rock Climbing ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury
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