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Review
. 2013 Jan;23(1):118-21.
doi: 10.1111/j.1552-6569.2011.00615.x. Epub 2011 Jun 23.

Stroke following epidural injections--case report and review of literature

Alexandra Popescu  1 , Daniel Lai, Angela Lu, Kathy Gardner
Affiliations
Review

Stroke following epidural injections--case report and review of literature

Alexandra Popescu et al. J Neuroimaging. 2013 Jan.

Abstract

Background and purpose: To describe a growing number of cases associated with spinal cord and posterior circulation ischemia as a complication of cervical epidural steroid injection (CESI).

Methods: Case report and review of literature.

Results: Sixteen cases of spinal cord and posterior circulation ischemia were analyzed. Two cases had transient symptoms and 10 had long-term sequelae. Four resulted in death.

Conclusion: Infarction is a rare but potentially devastating complication of CESI. It may occur despite the use of fluoroscopic guidance.

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