• Ann Rehabil Med · Aug 2015

    Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report.

    • Hyun Bang, Seong Min Chun, Hee Won Park, Moon Suk Bang, and Keewon Kim.
    • Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul, Korea.
    • Ann Rehabil Med. 2015 Aug 1;39(4):649-53.

    AbstractWe report a case of a 53-year-old male with traumatic cervical spinal cord injury (SCI). He could not maintain a standing position because of painful spasticity in his lower limbs. A magnetic resonance imaging and electromyography indicated chronic lumbosacral radiculopathy, explaining his chronic low back pain before the injury. For diagnostic as well as therapeutic purposes, transforaminal epidural steroid injection (ESI) to the right L5 root was performed. After the intervention, the spasticity decreased and his ambulatory function improved. This case illustrates that lumbar radiculopathy concomitant with a cervical SCI can produce severe spasticity and it can be dramatically improved by ESI.

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