Les infiltrations foraminales cervicales et lombaires sous scanner

Depriester, C.; Setbon, S; Larde, A.; Malaquin, E.; Abeele, B. Vanden; Bocquet, J.

doi:10.1016/j.jradio.2012.03.011

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…Complications of cervical epidural glucocorticoid injections are rare and mostly minor: headache, increased radicular pain, facial erythema and vasovagal reaction [1,2] . The development of tetraplegia as described in our case is very rare.…”

Section: Discussionmentioning

confidence: 99%

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Rare Case of Ischaemic Stroke Following Cervical Transforaminal Injection

Ali

Khoumsi

Gorur

et al. 2019

European Journal of Case Reports in Internal Medicine

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We report a case of brainstem infarction following a C5–C6 cervical transforaminal injection, a rare and serious neurological complication of this procedure. Cervical transforaminal steroid injection is a common therapy for patients with persistent cervical radiculopathy not relieved by conservative treatment, and is effective in 65–70% of cases. Unfortunately, this procedure may lead to serious complications such as neurological damage. These complications are rare but potentially fatal, as reported in our case. Complications could be due to three mechanisms: the technique itself, the cervical vascular anatomy and the properties of the product (corticoids). The neurological complications can be diagnosed through brain MRI. This case report focuses on the importance of a risk/benefit evaluation when performing this medical procedure. LEARNING POINTS Physicians should be better informed about severe complications following cervical transforaminal epidural steroid injections and their strict indications. Severe adverse events are rare but they can be disastrous. Non-particulate corticosteroid should be used.

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Section: Discussionmentioning

confidence: 99%

“…Therefore, patients should be aware of the potential complications of this procedure. These are mainly infectious (abscess, meningitis), haemorrhagic (epidural haematoma) and ischaemic (brainstem or spinal cord infarction) [2] .…”

Section: Introductionmentioning

confidence: 99%