{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:16:47Z","timestamp":1791310607009,"version":"4.3.1"},"reference-count":15,"publisher":"Galenos Yayinevi","issue":"1","license":[{"start":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T00:00:00Z","timestamp":1683072000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk J Phys Med Rehab"],"accepted":{"date-parts":[[2023,3,8]]},"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:p>Cervical transforaminal epidural steroid injections (TESIs) have technical difficulties and a risk of complications due to the cervical spine anatomy. A 52-year-old female patient was admitted to our outpatient clinic with complaint of neuropathic pain radiating to her right arm. Right C7 TESI was planned for patient who did not respond to conservative treatment. Immediately after the procedure, flaccid paralysis was detected in the right side and, at the end of 24 h, the patient completely regained her former muscle strength. In conclusion, patient selection for the cervical TESI should be done carefully and kept in mind that transient spinal cord ischemia may develop.<\/jats:p>","DOI":"10.5606\/tftrd.2023.12213","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T14:42:11Z","timestamp":1735569731000},"page":"149-153","source":"Crossref","is-referenced-by-count":2,"title":["A case of transient hemiplegia after cervical transforaminal epidural injection with dexamethasone: What actually happened?"],"prefix":"10.4274","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0027-5082","authenticated-orcid":false,"given":"Serdar","family":"Kokar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6786-5306","authenticated-orcid":false,"given":"Rekib","family":"Sacakl\u0131d\u0131r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8150-0581","authenticated-orcid":false,"given":"Sava\u015f","family":"\u015eencan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3214-803X","authenticated-orcid":false,"given":"Osman","family":"Hakan G\u00fcnd\u00fcz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2023,5,3]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Benny B, Azari P, Briones D. Complications of cervical transforaminal epidural steroid injections. Am J Phys Med Rehabil 2010;89:601-7. doi: 10.1097\/ PHM.0b013e3181e2d07c.","DOI":"10.1097\/PHM.0b013e3181e2d07c"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Schreiber AL, McDonald BP, Kia F, Fried GW. Cervical epidural steroid injections and spinal cord injuries. Spine J 2016;16:1163-6. doi: 10.1016\/j.spinee.2015.08.068.","DOI":"10.1016\/j.spinee.2015.08.068"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"Benny B, Azari P, Briones D. Complications of cervical transforaminal epidural steroid injections. Am J Phys Med Rehabil 2010;89:601-7. doi: 10.1097\/PHM.0b013e3181e2d07c.","DOI":"10.1097\/PHM.0b013e3181e2d07c"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Zalewski NL, Rabinstein AA, Krecke KN, Brown RD Jr, Wijdicks EFM, Weinshenker BG, et al. Characteristics of spontaneous spinal cord infarction and proposed diagnostic criteria. JAMA Neurol 2019;76:56-63. doi: 10.1001\/jamaneurol.2018.2734.","DOI":"10.1001\/jamaneurol.2018.2734"},{"key":"ref-5","unstructured":"Panuganti KK, Tadi P, Lui F. Transient Ischemic Attack. In: StatPearls. Treasure Island (FL): StatPearls Publishing LLC.; 2021."},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Epstein NE. Major risks and complications of cervical epidural steroid injections: An updated review. Surg Neurol Int 2018;9:86. doi: 10.4103\/sni.sni_85_18.","DOI":"10.4103\/sni.sni_85_18"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Schneider BJ, Maybin S, Sturos E. Safety and complications of cervical epidural steroid injections. Phys Med Rehabil Clin N Am 2018;29:155-69. doi: 10.1016\/j.pmr.2017.08.012.","DOI":"10.1016\/j.pmr.2017.08.012"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"Santillan A, Nacarino V, Greenberg E, Riina HA, Gobin YP, Patsalides A. Vascular anatomy of the spinal cord. J Neurointerv Surg 2012;4:67-74. doi: 10.1136\/ neurintsurg-2011-010018.","DOI":"10.1136\/neurintsurg-2011-010018"},{"key":"ref-9","doi-asserted-by":"crossref","unstructured":"Dommisse GF. The blood supply of the spinal cord. A critical vascular zone in spinal surgery. J Bone Joint Surg [Br] 1974;56:225-35.","DOI":"10.1302\/0301-620X.56B2.225"},{"key":"ref-10","doi-asserted-by":"crossref","unstructured":"Hoeft MA, Rathmell JP, Monsey RD, Fonda BJ. Cervical transforaminal injection and the radicular artery: Variation in anatomical location within the cervical intervertebral foramina. Reg Anesth Pain Med 2006;31:270-4. doi: 10.1016\/j.rapm.2005.12.005.","DOI":"10.1016\/j.rapm.2005.12.005"},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Baker R, Dreyfuss P, Mercer S, Bogduk N. Cervical transforaminal injection of corticosteroids into a radicular artery: A possible mechanism for spinal cord injury. Pain 2003;103:211-5. doi: 10.1016\/s0304-3959(02)00343-3.","DOI":"10.1016\/S0304-3959(02)00343-3"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Brouwers PJAM, Kottink EJBL, Simon MAM, Prevo RL. A cervical anterior spinal artery syndrome after diagnostic blockade of the right C6-nerve root. Pain 2001;91:397-9. doi: 10.1016\/S0304-3959(00)00437-1.","DOI":"10.1016\/S0304-3959(00)00437-1"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Huntoon MA. Anatomy of the cervical intervertebral foramina: Vulnerable arteries and ischemic neurologic injuries after transforaminal epidural injections. Pain 2005;117:104-11. doi: 10.1016\/j.pain.2005.05.030.","DOI":"10.1016\/j.pain.2005.05.030"},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Furman MB, Giovanniello MT, O'Brien EM. Incidence of intravascular penetration in transforaminal cervical epidural steroid injections. Spine (Phila Pa 1976) 2003;28:21- 5. doi: 10.1097\/00007632-200301010-00007.","DOI":"10.1097\/00007632-200301010-00007"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Bloodworth DM, Perez-Toro MR, Nouri KH. Neurological deficits after epidural steroid injection: Time course, differential diagnoses, management, and prognosis suggested by review of case reports. Pain Medicine 2008;9 Suppl_1:S41-57. doi: 10.1111\/j.1526-4637.2008.00439.x.","DOI":"10.1111\/j.1526-4637.2008.00439.x"}],"container-title":["Turkish Journal of Physical Medicine and Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ftrdergisi.com\/uploads\/pdf\/pdf_4472.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ftrdergisi.com\/uploads\/pdf\/pdf_4472.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T08:07:27Z","timestamp":1783066047000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ftrdergisi.com\/uploads\/pdf\/pdf_4472.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,3]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3,1]]}},"URL":"https:\/\/doi.org\/10.5606\/tftrd.2023.12213","relation":{},"ISSN":["2587-1250"],"issn-type":[{"value":"2587-1250","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,3]]}}}