Document Detail


Intramedullary abscess of the spinal cord in the setting of patent foramen ovale.
MedLine Citation:
PMID:  21986439     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Intramedullary abscess of the spinal cord is a rare entity, especially in the setting of an intracardiac shunt, which, to our knowledge, has not been described in the literature. Here we present a case of an intramedullary spinal cord abscess in a patient with a patent foramen ovale.
METHODS: The article includes a chart review and description of a clinical case presentation.
RESULTS: A 59-year-old man was admitted with rapidly progressive quadriparesis. Magnetic resonance imaging of the cervical spine demonstrated a large intramedullary mass extending from the level of C3 to C7. The patient was taken to the operating room for biopsy and surgical evacuation of the mass. Intraoperative pathology was consistent with abscess, and subsequent cultures grew Streptococcus viridans. On further workup, the patient was found to have a patent foramen ovale with right-to-left flow. Postoperatively, the strength improved significantly in all extremities with residual weakness.
CONCLUSION: This is the first published case of an intramedullary spinal cord abscess in the setting of an intracardiac right-to-left shunt. Although intramedullary spinal cord abscess is rare, there are certain predisposing conditions that increase the risk of its occurrence.
Authors:
Sergei Terterov; Alexander Taghva; Alexander A Khalessi; Paul E Kim; Charles Liu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World neurosurgery     Volume:  76     ISSN:  1878-8750     ISO Abbreviation:  World Neurosurg     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-10-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528275     Medline TA:  World Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  361.e11-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Department of Neurological Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California, USA.
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