{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:16:45Z","timestamp":1791310605446,"version":"4.3.1"},"reference-count":13,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T00:00:00Z","timestamp":1483660800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T00:00:00Z","timestamp":1483660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Neurol"],"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; Transforaminal epidural steroid injection (TFESI) is a widely used nonsurgical procedure in the treatment of patients with radiculopathy. It is efficacious in relieving pain, but a number of complications are being reported. Recently, increasing frequency of major complications, such as spinal cord infarction and cerebral infarction, has been reported with the use of a particulate steroid within fluoroscopic-guided procedures. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; We report a 49-year-old man with a history of chronic cervical radiculopathy, who experienced a devastating complication after TFESI. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; After 2 min of regular TFESI, the patient abruptly experienced muscle weakness in both upper extremities and within 5 min 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 that occurred after TFESI in Korea. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Considering the risk of dreadful complications, which appear in an unpredictable manner, TFESI with fluoroscopic guidance should be done only with a nonparticulate steroid.<\/jats:p>","DOI":"10.1159\/000455069","type":"journal-article","created":{"date-parts":[[2017,1,6]],"date-time":"2017-01-06T17:16:51Z","timestamp":1483723011000},"page":"1-5","source":"Crossref","is-referenced-by-count":25,"title":["Spinal Cord Infarction after Cervical Transforaminal Epidural Steroid Injection: Case Report and Literature Review"],"prefix":"10.1159","volume":"9","author":[{"given":"Jangsup","family":"Moon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyung-Min","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2017,1,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2015.56.4.1044"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318053ec50"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e3181e2d07c"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2008.07.001"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00343-3"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2009.00776.x"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.rapm.2004.05.002"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S1529-9430(01)00159-0"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000000614"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.forsciint.2004.05.018"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2015.58.5.483"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2008.54.5.593"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurad.2013.08.004"}],"container-title":["Case Reports in Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/455069","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/455069","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/455069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T13:06:58Z","timestamp":1745413618000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000455069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,6]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,7,11]]}},"URL":"https:\/\/doi.org\/10.1159\/000455069","archive":["Portico"],"relation":{},"ISSN":["1662-680X"],"issn-type":[{"value":"1662-680X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,6]]}}}