Experience of Epidural Steroids in Transverse Myelitis : A case report.
- Author:
Voki NAM
1
;
Ho Sik MUN
;
Jung Hak KIM
;
Dae Sung KIM
;
Choon Ho SUNG
Author Information
- Publication Type:Case Report
- Keywords: epidural steroid; transverse myelitis
- MeSH: Acneiform Eruptions; Adult; Back Pain; Constipation; Dysuria; Follow-Up Studies; Humans; Hypesthesia; Libido; Lower Extremity; Methylprednisolone; Myelitis, Transverse; Prednisolone; Spinal Cord; Steroids
- From:The Korean Journal of Pain 2009;22(1):92-95
- CountryRepublic of Korea
- Language:Korean
- 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.
