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.
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Javad Mirzayan, M., Goessling, T., Huefner, T. et al. Subacute steroid-induced paraparesis: surgical treatment of a devastating “invisible” side effect. Eur Spine J 21 (Suppl 4), 542–544 (2012). https://doi.org/10.1007/s00586-012-2185-3
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DOI: https://doi.org/10.1007/s00586-012-2185-3