Korean J Pain.  2009 Apr;22(1):92-95. 10.3344/kjp.2009.22.1.92.

Experience of Epidural Steroids in Transverse Myelitis : A case report

• Nam V
• Mun HS
• Kim JH
• Kim DS
• Sung CH

• KMID: 1767825
• DOI: http://doi.org/10.3344/kjp.2009.22.1.92

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.

Keyword

epidural steroid; transverse myelitis

MeSH Terms

Acneiform Eruptions
Adult
Back Pain
Constipation
Dysuria
Follow-Up Studies
Humans
Hypesthesia
Libido
Lower Extremity
Methylprednisolone
Myelitis, Transverse
Prednisolone
Spinal Cord
Steroids
Methylprednisolone
Prednisolone
Steroids