Acute spinal epidural abscess in the whole spine: case report of a 2-year-old boy
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We report on an acute epidural abscess in a 2-year-old boy, extending from the C1 level to the L5 level. The causative agent was Staphylococcus aureus as proved by pus and blood culture. The infectious source was in the scrotum. The diffuse epidural abscess was readily detected by MRI, which showed hypo-intensity in T1 WI and hyperintensity in gradient echo T2-weighted images. The abscess capsule was enhanced by Gadolinium-DTPA. The patient recovered completely after adequate treatment with antibiotics and follow up MRI showed complete disappearace of the epidural abscess. abscess.
Key wordsEpidural abscess, spine Magnetic resonance imaging
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- 1.Fischer EG, Greene CS, Winston KR (1981) Spinal epidural abscess in children. Neorosurgery 9: 257–260Google Scholar
- 2.Rockney R, Ryan R, Knuckey N (1989) Spinal epidural abscess, an infectious emergency. Clin Pediatr 28: 332–334Google Scholar
- 3.Baker AS, Ojemann RG, Swartz MN, Richardson EP (1975) Spinal epidural abscess. N Engl J Med 293: 463–468Google Scholar
- 4.Danner RL, Hartman BJ (1987) Update of spinal epidural abscess: 35 case and review of the literature. Rev Infect Dis 9: 265–274Google Scholar
- 5.Phillips GE, Jefferson A (1979) Acute spinal epidural abscess. Observation from fourteen cases. Postgrad Med J 55: 712–715Google Scholar
- 6.Lasker BR, Harter DH (1979) Cervical epidural abscess. Neurology 37: 1747–1753Google Scholar
- 7.Angtuaco EJC, McConnell JR, Chadduck WM, Flanigan S (1987) MR imaging of spinal epidural sepsis. AJNR 8: 879–883Google Scholar
- 8.Williams JW, Powell T (1990) Epidural abscess of the cervical spine: case report and literature review. Br J Radiol 63: 576–578Google Scholar
- 9.Bertino RE, Porter BA, Stimac GK, Tepper SJ (1988) Imaging spinal osteomyelitis and epidural abscess with short T1 inversion recovery (STIR). AJNR 9: 563–564Google Scholar
- 10.Post MJD, Sze G, Quencer RM, Eismont FJ, Green BA, Gahbauer, H (1990) Gadolinium-enhanced MR in spinal infection. J Comput Assist Tomogr 14: 721–729Google Scholar
- 11.Tsuji N, Igarashi S, Koyama T (1987) Spinal epidural abscess, report of 5 cases. No Shinkei Geka 15: 1079–1085Google Scholar