| Spontaneous pyogenic spinal epidural abscess. | |
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MedLine Citation:
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PMID: 21294095 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Tunc Oktenoglu; Mehdi Sasani; Birsen Cetin; Hakan Bozkus; Omur Ercelen; Metin Vural; Ali Fahir Ozer; Ali Cetin Sarioglu |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Turkish neurosurgery Volume: 21 ISSN: 1019-5149 ISO Abbreviation: Turk Neurosurg Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-02-04 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9423821 Medline TA: Turk Neurosurg Country: Turkey |
Other Details:
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Languages: eng Pagination: 74-82 Citation Subset: IM |
Affiliation:
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American Hospital, Department of Neurosurgery, Istanbul, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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