A case of transient hemiplegia after cervical transforaminal epidural injection with dexamethasone: What actually happened?
Serdar Kokar 1 ,Rekib Sacaklıdır 1 ,Savaş Şencan 1 ,Osman Hakan Gündüz 1
1 Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Marmara University Faculty of Medicine, Istanbul, Türkiye
DOI :
10.5606/tftrd.2023.12213
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.
Keywords :
Cervical pain, complications, epidural injection, fluoroscopy, transient hemiplegia
