Spinal Subdural Abscess Research Articles

An unusual case of spinal subdural abscess

An unusual case of spinal subdural abscess

Dermoid cyst with dermal sinus tract complicated with spinal subdural abscess

Spinal subdural abscess caused by spread of infection with the dermal sinus tract is rare in children. This article reports on a 1-year-old male with prolonged fever, progressive paraplegia, and bowel and bladder dysfunction resulting from a spinal subdural abscess secondary to an infected spinal dermoid cyst with a dermal sinus tract. This is the youngest patient to be reported having this condition. Surgical intervention was performed to find a tumor that had capsule and keratinlike contents. Culture of the abscess was positive for Escherichia coli and Bacteroides vulgatus. He received 6 weeks of parenteral antibiotic treatment. This patient illustrates the importance of urgent radiologic examination, immediate surgical resection, and appropriate antibiotic therapy for spinal subdural abscess.

P-4-526 - Spinal subdural abscess: A case report

P-4-526 - Spinal subdural abscess: A case report

Neurosurgical Care of Spinal Epidural, Subdural, and Intramedullary Abscesses and Arachnoiditis

Epidural abscess of the spinal column is a rare but potentially devastating disease. When recognized early and treated appropriately, the outcome can be excellent. Abscesses in the spinal subdural space or in the spinal cord proper are even more unusual but can also lead to complete and irreversible loss of neurologic function if not diagnosed and treated rapidly. Although infection frequently can result in arachnoiditis, there are other more common causes, such as surgery and chemical irritants. It remains a difficult condition to treat, and long-term therapeutic results are mediocre. Newer technology with spinal cord stimulation seems to show improved results but pain relief is incomplete, and the percentage of patients with poor results remains high.

Spinal subdural abscess: Successful treatment with limited drainage and antibiotics in a patient with AIDS

The authors present a case of Staphylococcus aureus spinal subdural abscess in a patient with AIDS. Although complete surgical drainage has been strongly advocated in the literature, this patient made a complete neurologic and symptomatic recovery and radiographically demonstrated resolution of the abscess with only limited surgical drainage and parenteral antibiotics. Magnetic resonance imaging findings of this unusual lesion are discussed. Relevant literature in the management of spinal subdural abscesses is reviewed.

腰部に発症した脊髄硬膜下膿ようの一例

Spinal subdural abscess is rare. This time, We report a case of subdural abscess of lumbar cord following infection of upper air way. This patient is a 42 years old man. He caught a cold two weeks before admission. Gradually, he complained of lumbar pain. When he was admitted to our hospital, he could not sleep at night because of severe back pain. Neurological examination revealed mild dysesthesia of both legs and incontinence of urination. Laboratory examination did not show the elevated leukocyte count and positive C-reactive protein. Myelography showed irregular filling deffect between L5 and S1. MRI showed isointensity on the T1 weighted image and high intensity on the T2 weighted image. We could not diagnose subdural abscess from these examinations. On June 8, 1990, laminectomy at the level of L4-S1 vertebrae was performed. Subdural space was filled with pus and scar-like tissue. Culture of this pus yielded a growth of streptococcus milleri. After operation, antibiotics was infused intravenously for 4 weeks. This patient can walk without any crutch. Till now, 44 cases were reported of this disease by our inspection.

Efficacy of MRI in Diagnosis of Acute Spinal Epidural and Subdural Abscess

Efficacy of MRI in Diagnosis of Acute Spinal Epidural and Subdural Abscess

Quadriplegia due to Spinal Subdural Abscess

Spinal subdural abscess (SSA) is a very rare cause of quadriplegia. According to the site of involvement, they may present with paraplegia or rarely quadriplegia. The most common site is thoraco-lumber region, but our patient presented with cervical SSA. We should consider it as a medical emergency because early diagnosis and prompt treatment can save the life and prevent residual disability of the patient. Â doi:10.3329/jom.v10i1.1998 Â J Medicine 2009; 10: 20-21

SPINAL SUBDURAL ABSCESS

SPINAL subdural abscess is mentioned only rarely in the literature. Bennett and Keegan1reported 1 case of such a lesion following multiple furuncles and osteomyelitis, which was characterized by pain in the back, subarachnoid block and progressive signs indicative of a lesion in the upper thoracic region of the cord. Exploration revealed subdural granulation tissue containing a few drops of creamy pus, from which Staphylococcus aureus was cultured. A functional recovery followed surgical drainage. The second case, reported by Chi,2was that of a Chinese soldier with furunculosis who had intermittent pain in the back, progressive symptoms indicative of involvement of the spinal cord for three months and subarachnoid block. Myelographic examination with iodized oil U.S.P. revealed a lesion in the lower thoracic region of the spinal cord. At operation, the dura was seen to be red and indurated, and the subarachnoid space contained reddish granulation tissue and