EXTENSIVE SPINAL EPIDURAL ABSCESS
Abstract
Spinal epidural abscess (SEA) is a rare clinical entity associated with a high morbidity andmortality. It usually spans 3-4 levels. The literature contains very few reports of extensive orpanspinal epidural abscesses and hence there is no consensus on management of such cases. Wedescribe a case of 56 years old male presenting with a posteriorly located SEA extending from theForamen Magnum to thoracolumbar junction. The abscess had led to quadriparesis for the last 24hours. This abscess was treated operatively by performing noncontiguous minimally invasivedecompressions of the cervical and thoracic spine. The patient showed progressive improvementin neurologic status and was walking with minimal support at 4 months of follow-up.Keywords: Epidural; Abscess; Paralysis; Thoracic; Laminectomy; Ambulation.References
Baker AS, Ojemann RG, Swartz MN, Richardson EP Jr.
Spinal epidural abscess. N Engl J Med 1975; 293:463-468.
Hlavin ML, Kaminski HJ, Ross JS, Ganz E. Spinal epidural
abscess: a ten-year perspective. Neurosurgery1990; 27:177–
Pilkington SA, Jackson SA, Gillett GR. Spinal epidural
empyema. Br J Neurosurg 2003;17:196–200..
Bluman EM, Palumbo MA, Lucas PR. Spinal epidural abscess
in adults. J Am Acad Orthop Surg 2004;12(3):155-63.
Reihsaus E, Waldbaur H, Seeling W: Spinal epidural abscess:
a meta-analysis of 915 patients. Neurosurg Rev 2000; 23:175-
Davis DP, Wold RM, Patel RJ, Tran AJ, Tokhi RN, Chan TC
et al. The clinical presentation and impact of diagnostic delays
on emergency department patients with spinal epidural
abscess. J Emerg Med 2004; 26:285–91.
Savage K, Holtom PD, Zalavras CG. Spinal epidural abscess:
early clinical outcome in patients treated medically. Clin
Orthop Relat Res 2005;439:56-60.
Schultz KD Jr, Comey CH, Haid RW Jr. Technical note.
Pyogenic spinal epidural abscess: a minimally invasive
technique for multisegmental decompression.
J Spinal Disord 2001;14(6):546-9.
Panagiotopoulos V, Konstantinou D, Solomou E,
Panagiotopoulos E, Marangos M, Maraziotis T. Extended
cervicolumbar spinal epidural abscess associated with
paraparesis successfully decompressed using a minimally
invasive technique. Spine 2004;29(14):E300-3.
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.