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

M. Javad Mirzayan, Thomas Goessling, Tobias Huefner, Joachim K. Krauss

February 2012, Volume 21, Issue 4, pp 542 - 544 Case Report Read Full Article

First Online: 28 February 2012

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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