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Journal of the Korean Academy of Rehabilitation Medicine 1997;21(4):790-794.
Chronic Progressive Radiation Myelopathy Associated with Radiation Therapy: A case report.
Jun, Po Sung , Kim, Ghi Chan , Ko, Hyun Yoon
1Department of Rehabilitation Medicine, Kosin Medical College, Korea.
2Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea.
방사선 치료후 발생한 만성 진행성 방사선 척수증 ⁣증례 보고⁣
전포성, 김기찬, 고현윤*
고신대학교 의학부 재활의학교실 및 부산대학교 의과대학 재활의학교실*
Abstract

Chronic progressive radiation myelopathy(CPRM) is a rare but serious complication of radiation therapy. It's exact cause is unknown and the diagnosis is usually made based on the exclusion of other causes of myelopathy. Magnetic resonance imaging(MRI) with gadolinium- diethylenetriamine pentaacetic acid(DTPA) enhancement seems to be useful for the diagnosis of CPRM. There is no known effective treatment and the complication is irreversible.

We report a case of CPRM after radiation therapy for subglottic cancer which was not respond to high-dose steroid therapy with review of literature.

Key Words: Chronic progressive radiation myelopathy(CPRM), Radiation therapy, Magnetic resonance imaging(MRI)


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