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At least 559 records · Page 31Linked to original sources
PubMed2005

Spinal epidural abscess caused by brucellosis. Two case reports.

Brucellosis is still an important public health problem in the Mediterranean countries, including Turkey, and is most probably underdiagnosed or underreported. Two rare cases of extradural brucellar granuloma causing spinal cord compression in the thoracic and cervical regions were identified by magnetic resonance imaging. The abscesses were totally excised surgically. Medical treatment was given immediately after diagnosis, but delayed neurosurgical intervention resulted in partial neurological recovery in one patient although the other showed complete neurological recovery. Abscess formation may cause myelopathy due to extradural compression of the spinal cord. Failure to correct this condition may cause irreversible impairment of motor functions. Magnetic resonance imaging should be performed periodically in patients with brucellosis and suspected vertebral involvement to monitor for epidural granuloma formation and prevent extradural cord compression.

Adult↗
PubMed2005

Spinal epidural abscess in a juvenile dog.

A six-month-old, intact female, Miniature Pinscher was admitted with signs of progressive neurological deficits in the hind legs, an elevated rectal temperature, and spinal pain of 48 hours duration. A myelogram was performed which demonstrated a dorsal, left sided compressive lesion extending from T11-T13. A left-sided hemilaminectomy was performed from T11-T13. A friable, poorly organized, pale tan and red mass was identified within the epidural space. Cytopathological and histopathological analyses of the mass demonstrated marked, subacute, suppurative cellulitis. A culture of the purulent material revealed beta haemolytic Streptococcus sp.

Animals↗
PubMed2003

Multilevel epidural abscess formation with paraplegia in a healthy 33-year-old man caused by Staphylococcus aureus (MSSA).

We report an unusual case of a devastating multilevel pyogenic spondylitis with paraplegia and soft tissue abscess formation in a previously healthy young man. Methicillin susceptible Staphylococcus aureus (MSSA) was identified as causal pathogen. The infection could only be managed after surgical debridement of all spinal manifestations and a prolonged course of antibiotic therapy. It is possible that delayed surgical debridement of all infection sites fostered the course of the disease.

Adult↗
PubMed2004

Surgical strategies for vertebral osteomyelitis and epidural abscess.

Pyogenic vertebral discitis and osteomyelitis (PVDO) has become an increasing problem for the spine surgeon. Despite recent advances in medical care and improved diagnostic neuroimaging, PVDO remains a major cause of illness and death in the elderly population. Infection of the spinal column often presents insidiously; however, if not treated appropriately and in a timely manner it can lead to severe neurological impairment, systemic septicemia, and progressive spinal deformity. In this paper the authors review the epidemiological and pathophysiological features and the clinical presentation of PVDO. Conventional medical therapy is described, with a particular focus on the methods of diagnosis. Surgical strategies for PVDO are then presented based on the literature and according to the practice of the senior author (S.L.O.), with an emphasis placed on structural considerations, implant selection, and techniques for augmenting vascular tissue to the site of infection.

Bacterial Infections↗
PubMed1983

[Computed tomographic diagnosis of epidural abscess, subdural empyema, meningitis and brain abscess].

Computerised tomography cannot be of great help in diagnosing meningitis. Examination of the cerebrospinal fluid remains essential. After the inflammation of the meninges has progressed to some stage of encephalitis, the formation of an abscess can be located via computed tomography. It is characterised by the ring-type abscess capsule. Computed tomography for diagnostic purposes is superior to cerebral scanning, which demonstrates enhanced activity, but does not show the formation of a membrane, so essential for differential diagnosis. Furthermore, computed tomography shows the adjacent anatomical structures and answers the questions of displacements and threatening invasion of the ventricle system. Epidural and subdural abscesses can also be located by computed tomography. Therapy can begin directly after computerised tomography, whereas in scintigraphy only a non-specific enhanced activity is present, which often does not allow differentiation between epidural and subdural location.

Brain Abscess↗
PubMed1999

Epidural abscess of the cervical spine with osteomyelitis of the odontoid process.

STUDY DESIGN: A case report. OBJECTIVES: To document the rare condition of staphylococcal osteomyelitis of the odontoid process and to increase knowledge about the clinical characteristics and favorable outcome if patients are managed appropriately. SUMMARY OF BACKGROUND DATA: Osteomyelitis of the odontoid process caused by Staphylococcus aureus is a rare disease. A handful of cases have been reported within the last 30 years. Destructive odontoid peg involvement is most commonly associated with rheumatoid disease, which has a distinct clinical course compared with that of bacterial infection. METHODS: Two patients with bacterial osteomyelitis of the odontoid peg underwent medical and surgical treatment. They were observed for 3 years. All authors were involved in the care of these patients. RESULTS: Close monitoring of the patients' neurologic status and the use of noninvasive imaging techniques to evaluate the cervical spine led to an individualized treatment plan including antibiotic medication and transoral surgery with good outcomes in both cases. CONCLUSIONS: Awareness of the occurrence of bacterial osteomyelitis of the odontoid process, with or without neurologic symptoms, in patients with neck pain and fever may lead to earlier detection of this potentially critical condition, which has an excellent prognosis when treated early and appropriately.

Abscess↗