Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple Sclerosis

We describe four patients with relapsing remitting multiple sclerosis (RRMS) who experienced a relapse with acute onset of painful sensations. Pain sensations disappeared in two of them and markedly reduced in the other ones after repeat application of intrathecal triamcinolone acetonide (TCA) follo...

Full description

Saved in:
Bibliographic Details
Main Authors: Kerstin Hellwig, Carsten Lukas, Niels Brune, Volker Hoffmann, Sebastian Schimrigk, Horst Przuntek, Thomas Müller
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2006.86
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555925037121536
author Kerstin Hellwig
Carsten Lukas
Niels Brune
Volker Hoffmann
Sebastian Schimrigk
Horst Przuntek
Thomas Müller
author_facet Kerstin Hellwig
Carsten Lukas
Niels Brune
Volker Hoffmann
Sebastian Schimrigk
Horst Przuntek
Thomas Müller
author_sort Kerstin Hellwig
collection DOAJ
description We describe four patients with relapsing remitting multiple sclerosis (RRMS) who experienced a relapse with acute onset of painful sensations. Pain sensations disappeared in two of them and markedly reduced in the other ones after repeat application of intrathecal triamcinolone acetonide (TCA) following a prior unsuccessful treatment with intravenous steroids. TCA administration was well tolerated and no serious side effects occurred. Repeated intrathecal TCA injection may provide a substantial benefit in RRMS patients with acute onset of pain due to an inflammatory lesion within the spinal cord.
format Article
id doaj-art-71480e9f7982454892aeaa09ac2edada
institution Kabale University
issn 1537-744X
language English
publishDate 2006-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-71480e9f7982454892aeaa09ac2edada2025-02-03T05:46:47ZengWileyThe Scientific World Journal1537-744X2006-01-01646046510.1100/tsw.2006.86Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple SclerosisKerstin Hellwig0Carsten Lukas1Niels Brune2Volker Hoffmann3Sebastian Schimrigk4Horst Przuntek5Thomas Müller6Department of Neurology, St. Josef Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791 Bochum, GermanyDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791 Bochum, GermanyDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791 Bochum, GermanyDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791 Bochum, GermanyDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791 Bochum, GermanyDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791 Bochum, GermanyDepartment of Neurology, St. Josef Hospital, Ruhr University Bochum, Gudrunstrasse 56, 44791 Bochum, GermanyWe describe four patients with relapsing remitting multiple sclerosis (RRMS) who experienced a relapse with acute onset of painful sensations. Pain sensations disappeared in two of them and markedly reduced in the other ones after repeat application of intrathecal triamcinolone acetonide (TCA) following a prior unsuccessful treatment with intravenous steroids. TCA administration was well tolerated and no serious side effects occurred. Repeated intrathecal TCA injection may provide a substantial benefit in RRMS patients with acute onset of pain due to an inflammatory lesion within the spinal cord.http://dx.doi.org/10.1100/tsw.2006.86
spellingShingle Kerstin Hellwig
Carsten Lukas
Niels Brune
Volker Hoffmann
Sebastian Schimrigk
Horst Przuntek
Thomas Müller
Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple Sclerosis
The Scientific World Journal
title Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple Sclerosis
title_full Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple Sclerosis
title_fullStr Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple Sclerosis
title_full_unstemmed Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple Sclerosis
title_short Repeat Intrathecal Triamcinolone Acetonide Application Reduces Acute Occurring Painful Dysesthesia in Patients with Relapsing Remitting Multiple Sclerosis
title_sort repeat intrathecal triamcinolone acetonide application reduces acute occurring painful dysesthesia in patients with relapsing remitting multiple sclerosis
url http://dx.doi.org/10.1100/tsw.2006.86
work_keys_str_mv AT kerstinhellwig repeatintrathecaltriamcinoloneacetonideapplicationreducesacuteoccurringpainfuldysesthesiainpatientswithrelapsingremittingmultiplesclerosis
AT carstenlukas repeatintrathecaltriamcinoloneacetonideapplicationreducesacuteoccurringpainfuldysesthesiainpatientswithrelapsingremittingmultiplesclerosis
AT nielsbrune repeatintrathecaltriamcinoloneacetonideapplicationreducesacuteoccurringpainfuldysesthesiainpatientswithrelapsingremittingmultiplesclerosis
AT volkerhoffmann repeatintrathecaltriamcinoloneacetonideapplicationreducesacuteoccurringpainfuldysesthesiainpatientswithrelapsingremittingmultiplesclerosis
AT sebastianschimrigk repeatintrathecaltriamcinoloneacetonideapplicationreducesacuteoccurringpainfuldysesthesiainpatientswithrelapsingremittingmultiplesclerosis
AT horstprzuntek repeatintrathecaltriamcinoloneacetonideapplicationreducesacuteoccurringpainfuldysesthesiainpatientswithrelapsingremittingmultiplesclerosis
AT thomasmuller repeatintrathecaltriamcinoloneacetonideapplicationreducesacuteoccurringpainfuldysesthesiainpatientswithrelapsingremittingmultiplesclerosis