A case of transient hemiplegia after cervical transforaminal epidural injection with dexamethasone: What actually happened?

KOKAR S., SAÇAKLIDIR R., ŞENCAN S., GÜNDÜZ O. H.

Turkish Journal of Physical Medicine and Rehabilitation, cilt.70, sa.1, ss.149-153, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 70 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5606/tftrd.2023.12213
  • Dergi Adı: Turkish Journal of Physical Medicine and Rehabilitation
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.149-153
  • Anahtar Kelimeler: Cervical pain, complications, epidural injection, fluoroscopy, transient hemiplegia
  • Marmara Üniversitesi Adresli: Evet

Özet

Cervical transforaminal epidural steroid injections (TESIs) have technical difficulties and a risk of complications due to the cervical spine anatomy. A 52-year-old female patient was admitted to our outpatient clinic with complaint of neuropathic pain radiating to her right arm. Right C7 TESI was planned for patient who did not respond to conservative treatment. Immediately after the procedure, flaccid paralysis was detected in the right side and, at the end of 24 h, the patient completely regained her former muscle strength. In conclusion, patient selection for the cervical TESI should be done carefully and kept in mind that transient spinal cord ischemia may develop.