Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report.
10.5535/arm.2015.39.4.649
- Author:
Hyun BANG
1
;
Seong Min CHUN
;
Hee Won PARK
;
Moon Suk BANG
;
Keewon KIM
Author Information
1. Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea. keewonkimm.d@gmail.com
- Publication Type:Case Report
- Keywords:
Spinal cord injuries;
Muscle spasticity;
Radiculopathy
- MeSH:
Electromyography;
Humans;
Low Back Pain;
Lower Extremity;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Muscle Spasticity*;
Radiculopathy;
Spinal Cord Injuries*;
Spinal Cord*
- From:Annals of Rehabilitation Medicine
2015;39(4):649-653
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of a 53-year-old male with traumatic cervical spinal cord injury (SCI). He could not maintain a standing position because of painful spasticity in his lower limbs. A magnetic resonance imaging and electromyography indicated chronic lumbosacral radiculopathy, explaining his chronic low back pain before the injury. For diagnostic as well as therapeutic purposes, transforaminal epidural steroid injection (ESI) to the right L5 root was performed. After the intervention, the spasticity decreased and his ambulatory function improved. This case illustrates that lumbar radiculopathy concomitant with a cervical SCI can produce severe spasticity and it can be dramatically improved by ESI.
