Acute spinal epidural abscess and spinal leptomeningitis: report of 2 cases with comparative neuroradiological and autopsy study.

Abstract:

:A 21-year-old male developed back pain, fever, and rapidly progressive quadriparesis. Lumbar tap yielded frank pus which was confirmed on magnetic resonance imaging (MRI) to be located mainly in the cervical epidural space. Conservative antibiotic remedy was partially effective for restoration of the neurological deficits. A 82-year-old female noticed low-back pain which was rapidly accompanied with clouding of consciousness, paraplegia, and sphincter disturbances. Lumbar puncture revealed thick pus which was best depicted on MRI in the thoracolumbar subarachnoid space. At autopsy, spinal subarachnoid abscess or leptomeningitis was confirmed, and a spinal infarction previously unrecognized on MRI was found. Usefulness and shortcomings of MRI in the diagnosis of paraspinal infections are discussed.

journal_name

Eur Neurol

journal_title

European neurology

authors

Fukui T,Ichikawa H,Kawate N,Nozawa T,Sugita K

doi

10.1159/000116855

keywords:

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

328-33

issue

6

eissn

0014-3022

issn

1421-9913

journal_volume

32

pub_type

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