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KMID : 0363120090220010092
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Korean Journal of Pain
2009 Volume.22 No. 1 p.92 ~ p.95
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Experience of Epidural Steroids in Transverse Myelitis -A case report-
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Nam Vo-Ki
Kim Jung-Hak
Kim Dae-Sung
Sung Choon-Ho
Mun Ho-Sik
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Abstract
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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.
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KEYWORD
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epidural steroid, transverse myelitis
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