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.
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