title: Sudden paraplegia following epidural lipomatosis and thoracal compression fracture after long-term steroid therapy: a case report.
abstract: Sudden paraplegia secondary to the posterior spinal epidural compression and vertebral compression fracture as a complication in corticosteroid treatment is extremely rare. The authors presented a case 49-year-old man with chronic relapsing attack of Still's disease. After the identification of pathology, the surgical evacuation of lipid tissue and pedicle-based instrumentation showed therapeutic success. To the authors' knowledge, this is the first case showing both vertebral fracture and paraplegia that required urgent surgery in the follow-up Still's disease.
authors.affiliation: Ümraniye Training and Research Hospital, Istanbul, Turkey. suaterolcelik@yahoo.com
authors.forename: Suat Erol
authors.initials: SE
authors.lastname: Celik
authors.forename: Sait B
authors.initials: SB
authors.lastname: Erer
authors.forename: Ilker
authors.initials: I
authors.lastname: Güleç
authors.forename: Recai
authors.initials: R
authors.lastname: Gökcan
authors.forename: Sait
authors.initials: S
authors.lastname: Naderi
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects* / Q000627:therapeutic use; D001416:Back Pain / Q000000981:diagnostic imaging / Q000209:etiology; D002908:Chronic Disease; D019299:Decompression, Surgical; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000601:surgery; D050815:Fractures, Compression / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008068:Lipomatosis / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D010264:Paraplegia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D012720:Severity of Illness Index; D013117:Spinal Cord Compression / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000601:surgery; D016103:Spinal Fractures / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000601:surgery; D016706:Still's Disease, Adult-Onset / Q000188:drug therapy*; D016896:Treatment Outcome; D016055:Urinary Retention / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D000305:Adrenal Cortex Hormones