, Volume 21, Issue 8, pp 1674-1675
Date: 25 Mar 2012

Froin’s syndrome: an uncommon mimicker of Guillain–Barre syndrome

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access
This is an excerpt from the content

We read with interest the article by Zimmerer et al. [1] on the clinical and treatment aspects of spinal epidural abscess (SEA). At the outset we would like to congratulate the authors on the thorough and concise review of this uncommon condition.

As noted by the authors, SEA is found in 0.2–2.8 cases per 10,000 hospital admissions, thus, requiring a high degree of clinical suspicion in their diagnosis [2]. Further as seen in the study, patients oftentimes present with non-specific back pain thus making the diagnosis difficult. The severity and the location of weakness depend on the location of the abscess; with the most common site being thoracolumbar region [3]. MRI spine with and without (wwo) contrast is the diagnostic modality of choice with all patients in the study being diagnosed by it [1].

However in early stages of SEA, MRI can remain inconclusive [4] and due to spinal shock, patient can be hyporeflexic and a sensory level might not yet have been formed. Thus, a thoraco-lumbar ...

Despite repeated attempts, the Editorial Office of the European Spine Journal was unable to obtain a response from S. M. E. Zimmerer et al. to this letter to the editor.