Document Detail


Cervical epidural abscess presenting with Brown-Sequard syndrome in a patient with type 2 diabetes.
MedLine Citation:
PMID:  20647654     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
An 80-year-old woman with type 2 diabetes was admitted due to right-handed muscle weakness. The patient presented with Brown-Sequard syndrome, with complete paralysis of the right lower limb along with a loss of pain and temperature sensations in the left lower limb. Magnetic resonance imaging revealed a cervical epidural abscess, and accompanying edema or inflammation of the right side of the spinal cord at the C5 level. She underwent drainage and evacuation of the spinal abscess, followed by intravenous antibiotic administration. These interventions ameliorated the neurological deficits. The present case suggests the importance of epidural abscess as a rare pathogenetic cause of Brown-Sequard syndrome in type 2 diabetes.
Authors:
Yoshikazu Tamori; Tetsuya Takahashi; Hideyuki Suwa; Kyota Ohno; Yuki Nishimoto; Shinsuke Nakajima; Masahiro Asada; Tetsuya Kita; Masaharu Tsutsumi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-07-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1391-3     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Chibune Hospital, Osaka, Japan. tamori@chp.aijinkai.or.jp
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