19 Harley St, London, W1G 9QJ, UK

Spinal cord injury produced by direct damage during cervical transforaminal epidural injection

OBJECTIVE: Cervical transforaminal epidural steroid injection (TFESI) has become a common treatment for cervical radiculopathy. We describe a case of spinal cord injury caused by direct injection of iohexol into the cervical spinal cord during cervical TFESI. CASE REPORT: A 55-year-old male suffered from intractable pain in the neck, radiating to his left arm. After undergoing C6-7 TFESI under fluoroscopic guidance, the patient reported a shooting pain during needle insertion, and developed quadriparesis shortly after contrast injection. The radiological findings of the contrast medium and air bubble within the cord indicated needle penetration and intracord contrast injection. The paresis of his right arm and both legs recovered within 4 hours after the procedure. At 1-month follow-up, his left arm paresis had continued to improve. One year after the event, the motor paresis improved except for grasping with the left hand, resulting in a claw hand deformity. CONCLUSIONS: This case report draws attention to this very serious complication of cervical TFESI. It is essential to confirm final needle position using both anteroposterior and lateral fluoroscopy before any injection through the needle

Keywords : adverse effects,Air,Arm,Contrast Media,drug therapy,etiology,Fluoroscopy,Hand,Humans,Injections,Epidural,injuries,Iohexol,Leg,Male,Middle Aged,Neck,Neurosurgery,Pain,Paresis,Quadriplegia,Radiculopathy,Spinal Cord,Spinal Cord Injuries,Tomography,X-Ray Computed,Universities,, Cord,Injury,Produced,By,Direct, harley street nearest tube

Date of Publication : 2008 Jul

Authors : Lee JH;Lee JK;Seo BR;Moon SJ;Kim JH;Kim SH;

Organisation : Department of Neurosurgery, Chonnam National University Hospital & Medical School, Gwangju, Korea. jkl@chonnam.ac.kr

Journal of Publication : Reg Anesth Pain Med

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/18675752

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Infected primary non-Hodgkin lymphoma of spine | Massage for back pain near me

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810