INTRAMEDULLARY ABSCESS OF THE SPINAL CORD

We report a rare case of intramedullary spinal cord abscess. The patient was operated on by surgical drainage and appropriate antibiotic therapy. Improvement was seen postoperatively. Significant changes in the presentation, management, and outcome in these more recent cases are emphasized.

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Intramedullary Spinal Cord Abscess

Neurosurgery ◽

10.1227/00006123-199001000-00023 ◽

1990 ◽

Vol 26 (1) ◽

pp. 145-146 ◽

Cited By ~ 33

Author(s):

Barbara S. Koppel ◽

Michael Daras ◽

Kent R. Duffy

Keyword(s):

Spinal Cord ◽

Intravenous Drug User ◽

Intravenous Drug ◽

Drug Abusers ◽

Pseudomonas Cepacia ◽

Intramedullary Spinal Cord ◽

Intramedullary Abscess ◽

History Of ◽

Intramedullary Spinal Cord Abscess ◽

High Index Of Suspicion

Abstract Viral myelitis and bacterial epidural infections are common in intravenous drug abusers, but primary infections of the spinal cord are extremely rare. We report a 50-year-old active intravenous drug user who developed tetraplegia from an intramedullary abscess caused by Pseudomonas cepacia. Despite neurosurgical drainage and appropriate antibiotic therapy, no improvement was seen. Earlier intervention and a high index of suspicion is required in patients with a history of intravenous drug abuse and spinal cord symptoms. (Neurosurgery 26:145-146, 1990)

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Intramedullary Spinal Cord Abscess Treated With Antibiotic Therapy

Neurologia medico-chirurgica ◽

10.2176/nmc.49.262 ◽

2009 ◽

Vol 49 (6) ◽

pp. 262-268 ◽

Cited By ~ 20

Author(s):

Noriaki KURITA ◽

Yasuhisa SAKURAI ◽

Makoto TANIGUCHI ◽

Toru TERAO ◽

Hiroshi TAKAHASHI ◽

...

Keyword(s):

Spinal Cord ◽

Antibiotic Therapy ◽

Intramedullary Spinal Cord ◽

Intramedullary Spinal Cord Abscess

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Intramedullary abscess associated with acute bacterial meningitis: a case report and review of the literature

Journal of Neurology & Stroke ◽

10.15406/jnsk.2020.10.00423 ◽

2020 ◽

Vol 10 (3) ◽

pp. 120-123

Author(s):

Marouane Hammoud ◽

Fayçal Lakhdar ◽

Mohammed Benzagmout ◽

Khalid Chakour, ◽

Mohammed El Faiz Chaou

Keyword(s):

Spinal Cord ◽

Bacterial Meningitis ◽

Antibiotic Therapy ◽

Contralateral Side ◽

Acute Bacterial Meningitis ◽

Intramedullary Spinal Cord ◽

Intramedullary Abscess ◽

Threatening Condition ◽

Life Threatening ◽

The Central Nervous System

Intramedullary spinal cord abscess (ISCA) is a rare infection of the central nervous system. Untreated, it may result in significant morbidity and mortality. We describe the case of a 34-year-old man, who initially was admitted for bacterial meningitis. 3 days after initiation of antibiotic therapy, a gradually and progressive weakness appeared on the left side of his body with numbness on the contralateral side. MRI of the spine demonstrated an ISCA at level of C4. A myelotomy and surgical drainage was performed. Postoperatively, the patient had improved significantly his neurological deficit. ISCA is still a life-threatening condition, we point out that the diagnosis should be highly suspected, if a cystic spinal cord lesion is surrounded by significant medullar edema associated with fast onset of symptoms, especially in a context of sepsis or acuate meningitis. Prompt surgical evacuation followed by adequate antibiotic therapy, are the mainstays of treatment.

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