• Eur Spine J · Jun 2012

    Case Reports

    Subacute steroid-induced paraparesis: surgical treatment of a devastating "invisible" side effect.

    • M Javad Mirzayan, Thomas Goessling, Tobias Huefner, and Joachim K Krauss.
    • Department of Neurosurgery, Medical School Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. mirzayan@hotmail.com
    • Eur Spine J. 2012 Jun 1;21 Suppl 4:S542-4.

    PurposeTo emphasize an underestimated side effect following long-term use of steroids.MethodsWe report on surgical treatment of two patients with serious neurologic deficits caused by epidural spinal lipoma following long-term intake of cortisone.ResultsEarly decompression of the spinal cord by removal of epidural lipoma was the most effective treatment in these patients with progressive symptoms.ConclusionDiagnostic 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.

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