Cervical and Thoracolumbar Epidural Abscess - A Case Report -

Choong-Hyeok Choi; Hyoung-Jin Kim; Hyun-Joo Pai; Ye-Soo Park

doi:10.4184/jkss.2007.14.2.105

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Choi, Kim, Pai, and Park: Cervical and Thoracolumbar Epidural Abscess - A Case Report -

Case Report

Journal of Korean Spine Surg 2007;14(2):105-109.

Published online: 21 February 2007

DOI: https://doi.org/10.4184/jkss.2007.14.2.105

Cervical and Thoracolumbar Epidural Abscess - A Case Report -

Choong-Hyeok Choi, M.D.^#, Hyoung-Jin Kim, M.D., Hyun-Joo Pai, M.D.^$, Ye-Soo Park, M.D.

Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine

^#Department of Orthopedic Surgery, Hanyang University College of Medicine

^$Devision of Infectious Diseases, Department of Internal Medicine, Hanyang University College of Medicine

Address reprint requests to Ye-Soo Park, M.D. Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine 249-1 Kyomoon-dong, Guri-city, Kyunggi-do, Korea Tel: 82-31-560-2316, Fax: 82-31-557-8781, E-mail: hyparkys@hanyang.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Epidural abscess is a rare disease that can cause severe neurological complications or death if it is not recognized and treated early. Authors report a case of panspinal epidural abscess, which is diagnosed by MRI and treated with surgical drainage and antibiotics.

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Keywords: Epidural abscess

REFERENCES

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2). Baker AS, Ojeman RG, Swarz MN, Richardson EP Jr. Spinal epidural abscess. N Engl J Med. 1975; 293:463–468.

3). Kim H, Oh SH, Choi IS, et al. .:. Acute panspinal epidural abscess. J Korean Neurosurg Soc. 1999; 28:392–397.

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5). Simpson RK Jr, Azordegan PA, Sirbasku DM, Weath-ers SW, Lidsky MD, Baskin DS. Rapid onset of quadri-plegia from a panspinal epidural abscess. Spine. 1991; 16:1002–1005.

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9). Choi WT, Choi BY, Lee JW, Moon MS. Pyogenic spinal epidural abscess - A case report -. J Korean Orthop Assoc. 2002; 37:319–323.

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Fig. 1.

Peripheral enhanced epidural fluid collection can be seen in lumbar epidural space on T2 weighted sagittal image and gadolinium-enhanced sagittal image.

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Fig. 2.

Intermediated signal epidural abscess in cervical epidural space, which compresses the spinal cord posteriorly can be seen on T2 weighted images.

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Fig. 3.

Laminectomy is done and epidural abscess is drainaged by gently inserted nelaton catherter.

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Fig. 4.

Severe instability is caused from wide laminectomy.

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Fig. 5.

Epidural abscess is disappeared on follow up (postoperative 7 months) cervical, thoracic and lumbar MRI.

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Fig. 6.

Follow up (postop. 12 months) L-spine AP and Lateral radiograph reveals firm fixation and no loosening of instrumentation.

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