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KMID : 0361420150390030504
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Journal of Korean Academy of Rehabilitation Medicine
2015 Volume.39 No. 3 p.504 ~ p.507
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Cervical Meningomyelitis After Lumbar Epidural Steroid Injection
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Lee Yu-Jin
Kim Joon-Sung
Kim Ji-Yeon
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Abstract
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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.
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KEYWORD
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Epidural injections, Myelitis, Epidural abscess
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