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Rheumatol Int ; 31(9): 1227-9, 2011 Sep.
Article in English | MEDLINE | ID: mdl-20012627

ABSTRACT

Sudden paraplegia secondary to the posterior spinal epidural compression and vertebral compression fracture as a complication in corticosteroid treatment is extremely rare. The authors presented a case 49-year-old man with chronic relapsing attack of Still's disease. After the identification of pathology, the surgical evacuation of lipid tissue and pedicle-based instrumentation showed therapeutic success. To the authors' knowledge, this is the first case showing both vertebral fracture and paraplegia that required urgent surgery in the follow-up Still's disease.


Subject(s)
Adrenal Cortex Hormones/adverse effects , Fractures, Compression/chemically induced , Lipomatosis/chemically induced , Paraplegia/etiology , Still's Disease, Adult-Onset/drug therapy , Adrenal Cortex Hormones/therapeutic use , Back Pain/diagnostic imaging , Back Pain/etiology , Chronic Disease , Decompression, Surgical , Epidural Space/diagnostic imaging , Epidural Space/surgery , Fractures, Compression/diagnostic imaging , Fractures, Compression/surgery , Humans , Laminectomy , Lipomatosis/diagnostic imaging , Lipomatosis/surgery , Male , Middle Aged , Pain Measurement , Paraplegia/diagnostic imaging , Paraplegia/surgery , Radiography , Severity of Illness Index , Spinal Cord Compression/chemically induced , Spinal Cord Compression/diagnostic imaging , Spinal Cord Compression/surgery , Spinal Fractures/chemically induced , Spinal Fractures/diagnostic imaging , Spinal Fractures/surgery , Treatment Outcome , Urinary Retention/diagnostic imaging , Urinary Retention/surgery
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