Cervical Meningomyelitis After Lumbar Epidural Steroid Injection
Annals of Rehabilitation Medicine
;
: 504-507, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-163416
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Medula Espinal
/
Injeções Epidurais
/
Bulbo
/
Imageamento por Ressonância Magnética
/
Dor nas Costas
/
Clínicas de Dor
/
Cervicalgia
/
Abscesso Epidural
/
Extremidade Inferior
/
Extremidade Superior
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Annals of Rehabilitation Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo
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