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.
Copyright © 2011 by the American Society of Neuroimaging.