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CNS 2016
December 05-07, 2016
Volume 7, Issue 5(Suppl) J Neurol Neurophysiol
ISSN: 2155-9562 JNN, an open access journal
conferenceseries .com
December 05-07, 2016 Dubai, UAE
2nd International Conference on
Central Nervous System Disorders & Therapeutics
Hyung Min Kwon et al., J Neurol Neurophysiol 2016, 7:5(Suppl)
Spinal cord infarction after cervical transforaminal epidural steroid injection: Case report and
literature review
Hyung Min Kwon1 and Jong Ho Park2
1Boramae Medical Center-Seoul National University, South Korea
2Myongji Hospital, South Korea
Transforaminal epidural steroid injection (TFESI) is a widely-used nonsurgical procedure in the treatment of patients with
radicular pain syndrome. The procedure is efficacious in relieving the pain, but a number of minor andmajor complications
have been reported in the medical literature. Increasing frequency of major complications, such as spinal cord infarction
and cerebral infarction, has been more recently reported. We report a case of 49-year-old man with a history of chronic
cervical radiculopathy, who experienced a devastating complication after TFESI. After 2 minutes of regular TFESI, the patient
abruptly experienced muscle weakness in both upper extremities. Within 5 minutes after the start of the procedure, 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 occurring after TFESI in Korea. Considering the risk of
dreadful complications, which appears in an unpredictable manner, the benefits of performing TFESI in radiculopathy patients
need to be reappraised.
Biography
Hyung Min Kwon is currently working at the Department of the Neurology at SMG-SNU Boramae Medical Center at South Korea. Dr. Kwon has published several
original research papers in the reputed journals and participated in the several meetings.