The Korean Journal of Pain

  • 제22권1호
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  • Pages.92-95
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  • 2009
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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횡단척수염 환자에서 경막외 스테로이드 투여에 의한 치료 경험 -증례보고-

Experience of Epidural Steroids in Transverse Myelitis -A case report-

  • 남복희 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 문호식 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김정학 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 김대성 (가톨릭대학교 의과대학 마취통증의학교실) ;
  • 성춘호 (가톨릭대학교 의과대학 마취통증의학교실)
  • 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)
  • 투고 : 2008.11.05
  • 심사 : 2008.12.26
  • 발행 : 2009.04.01
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초록

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.

키워드

참고문헌

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피인용 문헌

  1. Intrathecal drug delivery to treat intractable neuropathic pain following Sjögren's syndrome-induced transverse myelitis : A case report vol.100, pp.22, 2009, https://doi.org/10.1097/md.0000000000026141