Document Detail


Spontaneous pyogenic spinal epidural abscess.
MedLine Citation:
PMID:  21294095     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: Spontaneous pyogenic spinal epidural abscess (SEA) is a rare condition but might be devastating and fatal. Traditional treatment is surgical decompression and antibiotics. A retrospective study was designed to assess the eff ect of clinical findings and treatment methods on the outcome.
MATERIAL AND METHODS: 14 patients were reviewed (10 male, 4 female, mean age 59.14). Six dorsal, seven ventral and one dorsal with ventral SEA were observed. SEA found in thoracal (5), lumbar (4), cervical (3) regions. One patient showed both cervical and thoracal and one patient showed cervical, thoracal and lumbar involvement. All patients received minimum 3 weeks of I.V., followed by minimum 3 weeks of oral antibiotics. All patients complained of spinal pain. Ten patients presented with fever. Neurological deficit was observed in 9 cases.
RESULTS: A total of 22 interventions was performed. Instrumentation was applied in 5 cases. Full recovery was achieved in 7 patients, significant improvement was observed in 5 patients. The neurological findings did not change in one patient. One mortality and one morbidity were observed.
CONCLUSION: Spontaneous SEA is a rare disease but might result in catastrophic neurological deficits and fatal even with prompt treatment. Therefore, one should always keep SEA in mind if a patient presents with fever, vague and spinal pain.
Authors:
Tunc Oktenoglu; Mehdi Sasani; Birsen Cetin; Hakan Bozkus; Omur Ercelen; Metin Vural; Ali Fahir Ozer; Ali Cetin Sarioglu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Turkish neurosurgery     Volume:  21     ISSN:  1019-5149     ISO Abbreviation:  Turk Neurosurg     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-02-04     Completed Date:  2011-04-04     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9423821     Medline TA:  Turk Neurosurg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  74-82     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Bacterial Agents / therapeutic use*
Back Pain / drug therapy,  mortality,  surgery
Discitis* / drug therapy,  mortality,  surgery
Epidural Abscess* / drug therapy,  mortality,  surgery
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Morbidity
Recovery of Function
Retrospective Studies
Staphylococcal Infections / drug therapy,  mortality,  surgery
Staphylococcus aureus
Streptococcal Infections / drug therapy,  mortality,  surgery
Streptococcus oralis
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

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