Single-Stage Epidural Catheter Lavage with Posterior Spondylodesis in Lumbar Pyogenic Spondylodiscitis with Multilevel Epidural Abscess Formation

2014 ◽  
Vol 75 (06) ◽  
pp. 447-452 ◽  
Author(s):  
Ralph Kayser ◽  
Jens Gulow ◽  
Nicolas Hoeh ◽  
Georg Salis-Soglio ◽  
Christoph Heyde ◽  
...  
Keyword(s):  
Epidural Catheter ◽  
Epidural Abscess ◽  
Single Stage ◽  
Abscess Formation ◽  
Pyogenic Spondylodiscitis

Is the Supraorbital Notch a Reliable Landmark to Avoid the Frontal Sinus?

2018 ◽  
Vol 16 (3) ◽  
pp. 360-367 ◽  
Author(s):  
Thomas A Ostergard ◽  
Chad A Glenn ◽  
Simone E Dekker ◽  
Nicholas C Bambakidis
Keyword(s):  
Surgical Site Infection ◽  
Frontal Sinus ◽  
Image Guidance ◽  
Epidural Abscess ◽  
Abscess Formation ◽  
Site Infection ◽  
Lateral Extent ◽  
The Relationship ◽  
Supraorbital Foramen

Abstract BACKGROUND When performing a craniotomy involving the orbital bar, the supraorbital notch is a potential landmark to localize the lateral extent of the frontal sinus. Avoidance of the frontal sinus is important to reduce the risk of postoperative surgical site infection, epidural abscess formation, and mucocele development. OBJECTIVE To determine the reliability of the supraorbital notch as a marker of the lateral location of the frontal sinus. METHODS Cadaveric dissections were used with image guidance software to define the relationship between the frontal sinus and supraorbital foramen. RESULTS The supraorbital notch was located 2.54 cm from midline and the lateral extent of the frontal sinus extended 2.84 mm lateral to the supraorbital notch. When performing a craniotomy extending medially to the supraorbital notch at a perpendicular angle, the frontal sinus was breached in 65% of craniotomies. When the craniotomy ended 10 mm lateral to the supraorbital notch, the rate of frontal sinus breach decreased to 10%. CONCLUSION When performing a craniotomy involving the supraorbital notch, a lateral to medial trajectory that ends 15 mm to the supraorbital notch will minimize the risk of frontal sinus violation.

scholarly journals Serratia Marcescens Spinal Epidural Abscess Formation Following Acupuncture

2014 ◽  
Vol 53 (15) ◽  
pp. 1665-1668 ◽  
Author(s):  
Chih-Wei Yang ◽  
Shun-Neng Hsu ◽  
Jhih-Syuan Liu ◽  
Dueng-Yuan Hueng
Keyword(s):  
Serratia Marcescens ◽  
Epidural Abscess ◽  
Abscess Formation ◽  
Spinal Epidural Abscess ◽  
Spinal Epidural

Management of an Epidural Abscess After Continuous Epidural Catheter Infusion

Pain Practice ◽  
2001 ◽  
Vol 1 (2) ◽  
pp. 183-186 ◽  
Author(s):  
Osama A. Malak ◽  
Sherif B. Mossad ◽  
Nagy A. Mekhail
Keyword(s):  
Epidural Catheter ◽  
Epidural Abscess

Facet joint injection: a rare form cause of epidural abscess formation

Pain ◽  
2003 ◽  
Vol 103 (1) ◽  
pp. 209-210 ◽  
Author(s):  
E Alcock ◽  
A Regaard ◽  
J Browne
Keyword(s):  
Epidural Abscess ◽  
Facet Joint ◽  
Abscess Formation ◽  
Joint Injection ◽  
Rare Form ◽  
Facet Joint Injection

Lumbosacral spondylodiscitis complicated by sepsis, osteomyelitis, epidural abscess formation and deep vein thrombosis

2020 ◽  
Vol 13 (12) ◽  
pp. e238522
Author(s):  
Etienne Ceci Bonello ◽  
Christian Vassallo ◽  
Paul John Cassar
Keyword(s):  
Deep Vein Thrombosis ◽  
Epidural Abscess ◽  
Psoas Abscess ◽  
Abscess Formation ◽  
Outpatient Basis ◽  
Limb Weakness ◽  
Ct Guided ◽  
Vein Thrombosis ◽  
Intravenous Antibiotics ◽  
Deep Vein

A 71-year-old man presented with a 3-month history of low back pain radiating to his right hip and thigh associated with lower limb weakness and constitutional symptoms. Imaging confirmed a lumbosacral spondylodiscitis at L2–3 and L5–S1 as well as a right-side psoas abscess which was treated with urgent CT-guided drainage and intravenous antibiotics. His admission was complicated by a number of issues, including the development of osteomyelitis with vertebral body destruction at multiple sites, epidural abscess formation and deep vein thrombosis. Additionally, the patient developed severe sepsis which necessitated admission to the intensive care unit. The patient’s clinical condition improved gradually with intravenous antibiotics until he was well enough for transfer to a rehabilitation centre, where he underwent regular occupational and physical therapy. Repeat imaging showed overall resolution of the aforementioned pathologies and is currently being followed up by the spinal surgeons on an outpatient basis.

Sign in / Sign up

Export Citation Format

Share Document