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http://dx.doi.org/10.3344/kjp.2009.22.1.92

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

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)
Publication Information
The Korean Journal of Pain / v.22, no.1, 2009 , pp. 92-95 More about this Journal
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
epidural steroid; transverse myelitis;
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