Steroid-induced Paraparesis: Spinal Epidural Lipomatosis Complicated by a Wedge Deformity of the Middle Thoracic Vertebrae
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概要
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Steroid therapy is commonly prescribed, although a variety of complications have been reported. Among such complications, spinal epidural lipomatosis is rare and difficult to diagnose before paraparesis occurs. The purpose of this report is to present a rare but catastrophic complication of steroid therapy. A 64-year-old woman undergoing long-term steroid therapy suffered from an osteoporotic vertebral compression fracture and was unable to walk due to paraparesis. Magnetic resonance imaging (MRI) demonstrated a D7 compression fracture and stored epidural adipose tissue between D5 and D8. After surgery, the patient was able to walk with double canes. This case indicates that long-term steroid use has the potential to induce paraparesis.
著者
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Yamashita Tomoya
Department Of Materials Engineering Hokkaido University
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Ohzono Kenji
Department Of Orthopaedic Surgery Osaka National Hospial
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Ohwada Tetsuo
Departments Of Neurosurgery Matsudo Municipal Hospital
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Sakaura Hironobu
Department Of Orthopaedic Surgery Osaka University Graduate School Of Medicine
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Ohzono Kenji
Department of Orthopaedic Surgery, Kansai Rosai Hospital, Japan
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Miwa Toshitada
Department of Orthopaedic Surgery, Kansai Rosai Hospital, Japan
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Yamashita Tomoya
Department of Orthopaedic Surgery, Kansai Rosai Hospital, Japan
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