Erschienen in:
01.06.2012 | Case Report
Subacute steroid-induced paraparesis: surgical treatment of a devastating “invisible” side effect
verfasst von:
M. Javad Mirzayan, Thomas Goessling, Tobias Huefner, Joachim K. Krauss
Erschienen in:
European Spine Journal
|
Sonderheft 4/2012
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Abstract
Purpose
To emphasize an underestimated side effect following long-term use of steroids.
Methods
We report on surgical treatment of two patients with serious neurologic deficits caused by epidural spinal lipoma following long-term intake of cortisone.
Results
Early decompression of the spinal cord by removal of epidural lipoma was the most effective treatment in these patients with progressive symptoms.
Conclusion
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.