Bacterial Meningitis due to Cervical Epidural Abscess

YoungSeo Kim; YunSu Hwang; SuSin Park; Julie Jeong; HakSeung Lee; HyunYoung Park

doi:10.14253/kjcn.2014.16.2.86

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Kim, Hwang, Park, Jeong, Lee, and Park: Bacterial Meningitis due to Cervical Epidural Abscess

Brief Communication

Korean J Community Nutr 2014;16(2):86-88.

Published online: 18 January 2014

DOI: https://doi.org/10.14253/kjcn.2014.16.2.86

Bacterial Meningitis due to Cervical Epidural Abscess

YoungSeo Kim, YunSu Hwang, SuSin Park, Julie Jeong, HakSeung Lee, HyunYoung Park

Department of Neurology, Wonkwang University School of Medicine, Institute of Wonkwang Medical Science and Regional Cardiocerebrovascular Center, Iksan, Korea

Address for correspondence; HyunYoung Park Department of Neurology, Wonkwang University School of Medicine, 895 Muwang-ro, Iksan 570-711, Korea Tel: +82-63-859-1410 Fax: +82-63-842-7379 E-mail: hypppark@hanmail.net

Received 18 December 2013 Revised 9 July 2014 Accepted 25 August 2014

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.

Keywords: Bacterial meningitis, Epidural abscess, Complication

REFERENCES

1.Ma HJ., Kim IS. Clinical outcomes of spinal epidural abscess. Korean J Spine. 2012. 9:6–11.

2.Darouiche RO. Spinal Epidural Abscess. N Engl J Med. 2006. 355:2012–2020.

3.Park HM., Kim SH., Kim JH., Kim MH. Epidural abscess secondary to acute osteomyelitis of the cervical spine caused by E. Coli. J Korean Neurol Assoc. 1993. 11:630–633.

4.Curry WT Jr., Hoh BL., Amin-Hanjani S., Eskandar EN. Spinal epidural abscess: clinical presentation, management, and outcome. Surg Neurol. 2005. 63:364–371.

5.Lang IM., Hughes DG., Jenkins JP., St Clair Forbes W., McKenna F. MR imaging appearances of cervical epidural abscess. Clin Radiol. 1995. 50:466–471.

6.González-López JJ., Górgolas M., Muñiz J., López-Medrano F., Barnés PR., Fernández Guerrero ML. Spontaneous epidural abscess: Analysis of 15 cases with emphasis on diagnostic and prognostic factors. Eur J Intern Med. 2009. 20:514–517.

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Figure 1.

Initial cervical spine MRI shows enhancing epidural fluid collection (white arrow) at atlantoaxial joint and C1-2 level. This epidural abscess has high signal intensity on T2 and rim-enhancement on T1 enhanced images (A). Follow up cervical spine MRI shows marked improvement of marginal enhancing fluid collection (B).

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