Cervical Meningomyelitis After Lumbar Epidural Steroid Injection.
10.5535/arm.2015.39.3.504
- Author:
Yujin LEE
1
;
Joon Sung KIM
;
Ji Yeon KIM
Author Information
1. Department of Rehabilitation Medicine, St. Vincent's Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea. completeleeyu@gmail.com
- Publication Type:Case Report
- Keywords:
Epidural injections;
Myelitis;
Epidural abscess
- MeSH:
Back Pain;
Diabetes Mellitus;
Diagnosis;
Epidural Abscess;
Epidural Space;
Fever;
Hematoma;
Humans;
Injections, Epidural;
Lower Extremity;
Magnetic Resonance Imaging;
Male;
Medulla Oblongata;
Middle Aged;
Myelitis;
Neck Pain;
Pain Clinics;
Spinal Cord;
Upper Extremity
- From:Annals of Rehabilitation Medicine
2015;39(3):504-507
- CountryRepublic of Korea
- Language:English
-
Abstract:
Epidural steroid injections (ESI) are a common treatment for back pain management. ESI-related complications have increased with the growing number of procedures. We report a case of cervical meningomyelitis followed by multiple lumbar ESI. A 60-year-old male with diabetes mellitus presented to our hospital with severe neck pain. He had a history of multiple lumbar injections from a local pain clinic. After admission, high fever and elevated inflammatory values were detected. L-spine magnetic resonance imaging (MRI) revealed hematoma in the S1 epidural space. Antibiotic treatment began under the diagnosis of a lumbar epidural abscess. Despite the treatment, he started to complain of weakness in both lower extremities. Three days later, the weakness progressed to both upper extremities. C-spine MRI revealed cervical leptomeningeal enhancement in the medulla oblongata and cervical spinal cord. Removal of the epidural abscess was performed, but there was no neurological improvement.
