Subacute steroid-induced paraparesis: surgical treatment of a devastating "invisible" side effect.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 22370924.
- Also identified by DOI 10.1007/s00586-012-2185-3 and PMC identifier 3369028.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
To emphasize an underestimated side effect following long-term use of steroids. We report on surgical treatment of two patients with serious neurologic deficits caused by epidural spinal lipoma following long-term intake of cortisone. Early decompression of the spinal cord by removal of epidural lipoma was the most effective treatment in these patients with progressive symptoms. Diagnostic work-up of such patients should include early spinal MRI resulting in surgical intervention, if indicated. Decompression of the spinal cord eventually combined with fusion is necessary.
Medical subject headings
- Cortisone
- Lipoma
- Paraparesis
- Spinal Cord Neoplasms