The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Experience of Epidural Steroids in Transverse Myelitis -A case report-

횡단척수염 환자에서 경막외 스테로이드 투여에 의한 치료 경험 -증례보고-

  • Nam, Voki (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Mun, Ho Sik (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Jung Hak (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Dae Sung (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine) ;
  • Sung, Choon Ho (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine)
  • 남복희 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 문호식 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김정학 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김대성 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 성춘호 (가톨릭대학교 의과대학 마취통증의학교실)
  • Received : 2008.11.05
  • Accepted : 2008.12.26
  • Published : 2009.04.01
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Abstract

Transverse myelitis is a focal inflammatory disorder of the spinal cord characterized by motor, sensory, and autonomic dysfunction. A 41-year-old man with transverse myelitis and no pre-existing neurologic disease presented with hypesthesia, numbness, weakness in the both lower extremities, back pain, decreased libido, constipation, and dysuria. A MRI test showed intramedullary high signal intensity between T4 and T8 on a T2-weighted image. After high-dose intravenous methylprednisolone and oral prednisolone therapy, he showed facial swelling and acneiform eruption. Therefore, we injected 40 mg methylprednisolone via an epidural route. A 7-dose serial treatment improved most symptoms. A follow up MRI showed radiological improvement. We report a case of transverse myelitis treated by epidural steroids.

Keywords

References

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