{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:16:41Z","timestamp":1791310601414,"version":"4.3.1"},"reference-count":0,"publisher":"American Society of Interventional Pain Physicians","issue":"6;12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Phys"],"published-print":{"date-parts":[[2014,12,14]]},"abstract":"<jats:p>Interlaminar cervical epidural steroid injections (ic-ESI) are safe and effective treatment options\nfor the management of acute and chronic radiculopathy, spinal stenosis, and other causes of\nneck pain not responding to more conservative measures. However, the procedure inherently\nlends itself to possible spinal cord injury (SCI). Though reports of such events have been\ndocumented, the clinical presentation of patients with needle puncture SCI varies. In part, this\nmay be due to anatomic considerations, as symptoms may be dependent on the cervical level\nintruded, as well as the volume and type of injectate used.\nMany cases go unreported and therefore the true incidence of cord injections during ic-ESI\nis not known. Cervical epidurals can be performed by the transforaminal or interlaminar\napproach. It is generally accepted that ic-ESI is safer than transforaminal epidurals. There are\nnumerous reports of arterial invasion or irritation with the latter despite an inherently greater\nrisk of cord puncture with the former. The likelihood of cord interruption rises when ic-ESIs are\nperformed above C6-C7 as there is a relatively slim epidural layer compared to lower cervical\nepidural zones. Though most cases of devastating outcomes, such as hemiplegia and death,\nhave been reported during cervical transforaminal epidural injections and rarely with ic-ESI,\nit is important to understand the symptoms and potential pitfalls of performing any cervical\nepidural injection. Cervical epidural malpractice claims are uncommon, but exceed those of\nsteroid blocks at all the levels combined, demonstrating the need for improved awareness of\npotential complications in ic-ESI. Here, we will describe an unusual presentation of a spinal cord\ninjection during an ic-ESI procedure.\nKey words: Cervical epidural, spinal cord, hemiparesis<\/jats:p>","DOI":"10.36076\/ppj.2014\/17\/e761","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T16:24:56Z","timestamp":1614097496000},"page":"E761-E767","source":"Crossref","is-referenced-by-count":3,"title":["Hemiparesis and Facial Sensory Loss following\nCervical Epidural Steroid Injection"],"prefix":"10.36076","volume":"6;17","author":[{"suffix":"MD","given":"Sayed E.","family":"Wahezi","sequence":"first","affiliation":[{"name":"Montefiore Medical Center, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"21814","published-online":{"date-parts":[[2014,12,15]]},"container-title":["Pain Physician"],"original-title":[],"language":"en","deposited":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T16:24:58Z","timestamp":1614097498000},"score":1,"resource":{"primary":{"URL":"https:\/\/painphysicianjournal.com\/current\/pdf?article=MjE5Nw%3D%3D&journal=85"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,14]]},"references-count":0,"issue-title":["December 2014"],"journal-issue":{"issue":"6;12","published-online":{"date-parts":[[2014,12,5]]},"published-print":{"date-parts":[[2014,12,4]]}},"URL":"https:\/\/doi.org\/10.36076\/ppj.2014\/17\/e761","archive":["Internet Archive","Internet Archive"],"relation":{},"ISSN":["2150-1149","1533-3159"],"issn-type":[{"value":"2150-1149","type":"electronic"},{"value":"1533-3159","type":"print"}],"subject":[],"published":{"date-parts":[[2014,12,14]]}}}