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

We 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 l...

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Detalles Bibliográficos
Autores principales: Bang, Hyun, Chun, Seong Min, Park, Hee Won, Bang, Moon Suk, Kim, Keewon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564716/
https://www.ncbi.nlm.nih.gov/pubmed/26361605
http://dx.doi.org/10.5535/arm.2015.39.4.649
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author Bang, Hyun
Chun, Seong Min
Park, Hee Won
Bang, Moon Suk
Kim, Keewon
author_facet Bang, Hyun
Chun, Seong Min
Park, Hee Won
Bang, Moon Suk
Kim, Keewon
author_sort Bang, Hyun
collection PubMed
description We 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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spelling pubmed-45647162015-09-10 Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report Bang, Hyun Chun, Seong Min Park, Hee Won Bang, Moon Suk Kim, Keewon Ann Rehabil Med Case Report We 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. Korean Academy of Rehabilitation Medicine 2015-08 2015-08-25 /pmc/articles/PMC4564716/ /pubmed/26361605 http://dx.doi.org/10.5535/arm.2015.39.4.649 Text en Copyright © 2015 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Bang, Hyun
Chun, Seong Min
Park, Hee Won
Bang, Moon Suk
Kim, Keewon
Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report
title Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report
title_full Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report
title_fullStr Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report
title_full_unstemmed Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report
title_short Lumbar Epidural Steroid Injection for Painful Spasticity in Cervical Spinal Cord Injury: A Case Report
title_sort lumbar epidural steroid injection for painful spasticity in cervical spinal cord injury: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4564716/
https://www.ncbi.nlm.nih.gov/pubmed/26361605
http://dx.doi.org/10.5535/arm.2015.39.4.649
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