ABSTRACT Background: Pyogenic Spinal Epidural Abscess (PSEA) is difficult to diagnose and can have devastating consequences. Magnetic Resonance Imaging (MRI) has high sensitivity specificity, which are further increased with the use of contrast. There several classifications vertebral infectious processes, emphasis on spondylodiscitis. Objective: To analyze morphological parameters their reprod...

A 62-year-old man visited our emergency department with sudden onset of paraparesis 24 hours before the visit. His medical history revealed prolonged suffering from back pain in addition to diabetes mellitus for 27 years. T2weighted-magnetic resonance imaging of the spine revealed epidural space lesions that extended from C5 to L5 and occupied posterior spaces (Picture 1, 2). The patient was di...

OBJECTIVE Spinal epidural abscess (SEA) can be fatal if untreated, so early diagnosis and treatment are essential. We conducted a retrospective study to define its clinical features and evaluate the risk factors of motor weakness. METHODS We retrospectively analyzed the medical records and images of patients with SEA who had been hospitalized in our institute from January 2005 to June 2012. P...

Editor—I have been reading with interest the recent articles in your journal concerning epidural abscesses after insertion of epidural catheters, 1–3 and am in favour of the suggestions made to minimize the risk. However, I would like to highlight the point previously made in this journal that epidurals are not the only cause of an epidural abscess. 4 I recently anaesthetized a 30-yr-old woman ...

Background Man-in-the-barrel syndrome (MBS) is an uncommon clinical condition for which patients present with bilateral brachial diplegia but intact lower extremity strength. This syndrome is typically attributed to a cranial/cortical injury rather than a spinal pathology. Case Description A 62-year-old diabetic male presented with bilateral upper extremity paresis attributed to a ventral cer...

A two-year-old female Lucerne Hound was presented with a one-week history of signs of progressive neck pain, inappetence, apathy, and an elevated rectal temperature. Findings of magnetic resonance imaging (MRI) were consistent with a foreign body abscess in the epidural space at the level of the first and second cervical vertebrae. A left-sided dorso-lateral atlantoaxial approach was performed,...

bacterial meningitis after spinal and epidural anesthesia is a very rare but serious complication. we report a case of meningitis developing a number of hours after a spinal block for caesarean section. no organism was grown but the csf pattern was suggestive of bacterial meningitis. severe neurological sequelae were present after three months of hospitalization. meningitis is a serious complic...

Until recently epidural abscess was considered a rare, almost theoretical, complication of central nerve block, but anecdotal reports suggest that this is no longer the case. Thus a review of the risk factors, pathogenesis, clinical features and outcome of this condition is appropriate, the primary aim being to make recommendations on best anaesthetic practice to minimize the risk of this serio...

BACKGROUND Destructive spondyloarthropathy (DSA) is one of the major complications in patients undergoing long-term hemodialysis. To the best of our knowledge, an epidural abscess occurring at the level of preexisting cervical DSA has not been well described in the literature. We report a unique case of quadriplegia caused by an epidural abscess occurring at the same level of preexisting cervic...

MR imaging, primarily the spin-echo technique, is increasingly important in evaluating spinal disease [1-3]. We have found, however, that short TI inversion recovery (STIR) in conjunction with spin-echo techniques provides higher tissue contrast images in shorter imaging times while minimizing imaging degradation due to motion and pulsation. The STIR sequence suppresses the signal from fat [4],...