Document Detail


Pyogenic intradural abscess: a case report.
MedLine Citation:
PMID:  17515809     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: A case report of pyogenic intradural abscess is described. OBJECTIVES: The rarity of the presentation and its successful management are discussed. SUMMARY OF BACKGROUND DATA: Intradural abscesses are exceptionally rare. METHOD: The abscess was drained by performing a posterior midline lumbar durotomy, and intravenous antibiotics were initiated. RESULT: At the 1 year follow-up, the patient has made significant neurologic recovery. CONCLUSION: Intradural pyogenic abscess secondary to chronic pyogenic spondylodiscitis is a rare manifestation. MRI is a vital component in diagnosis, which revealed key pathologic features within the dural sac as well as in the vertebral column. An emergency decompression and appropriate antibiotic regimen is the solution for a favorable outcome.
Authors:
Arvind G Kulkarni; Gordon Chu; Michael G Fehlings
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  32     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-22     Completed Date:  2007-06-27     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E354-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada. drarvindspines@yahoo.co.in
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MeSH Terms
Descriptor/Qualifier:
Abscess / drug therapy,  microbiology,  pathology*
Aged
Anti-Bacterial Agents / administration & dosage
Chronic Disease
Discitis / microbiology,  pathology*
Drainage
Dura Mater / microbiology,  pathology*
Floxacillin / administration & dosage
Humans
Low Back Pain / microbiology,  pathology
Lumbar Vertebrae*
Magnetic Resonance Imaging
Male
Staphylococcal Infections / complications,  drug therapy,  pathology*
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 5250-39-5/Floxacillin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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