scholarly journals Minimally Invasive Irrigation for Lumbar Spinal Epidural Abscess using a Trans-Sacral Epiduroscopic Laser Decompression Catheter

2018 ◽  
Vol 3 (2) ◽  
pp. 75-78
Author(s):  
Jong-Hwan Hong ◽  
Gwang jun Lee ◽  
Bong Ju Moon ◽  
Jung-Kil Lee
Keyword(s):  
Minimally Invasive ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Lumbar Spinal ◽  
Spinal Epidural

scholarly journals Tuberculous lumbar spinal epidural abscess in a young adult (case report)

SICOT-J ◽  
2018 ◽  
Vol 4 ◽  
pp. 5
Author(s):  
Ghazwan Abdulla Hasan ◽  
Saif Mohammed Kani ◽  
Ahmed Alqatub
Keyword(s):  
Case Report ◽  
Lower Limb ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Mri Scan ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Lumbar Spinal ◽  
Spinal Epidural

Introduction: Spinal Epidural abscess (SEA) is an uncommon pathology that needs an urgent intervention to decompress the pressure on the spinal epidural sac, cord, and roots. The authors report a rare case of a young adult with lumbar spinal epidural tuberculous abscess occupying the spinal canal from L2–L5 vertebrae with extesion to the posterior paraspinal muscles and presenting with bilateral progressive lower limb weakness.   Case report: A 42 years old male teacher presented with a 15-day history of progressive difficulty to walking and bilateral lower limb weakness associated with fever, malaise and later on urinary incontinence. A magnetic resonance imaging (MRI) scan revealed a paraspinal intermuscular abscess and an abscess occupying the spinal canal compressing the dural sac from L2–L4/5, without any signs of vertebral involvement. Surgery was done by a posterior midline incision. Pus was evacuated from multiple pockets through the paraspinal muscle layers. Laminectomy for L3/4, and hemilaminectomy for L2/3, and L4/5 were performed. Pus and bone specimens were negative for acid-fast bacilli. However, both histopathological studies and Polymerase Chain Reaction (PCR) testing confirmed the presence of tuberculosis (TB). The patient received TB antibiotics, and a follow-up MRI scan at 2 months showed complete evacuation of the abscess. However, signs of L5 spondylitis were evident. No further surgery was needed as there was no vertebral collapse or neural compression and the patient's clinical condition was improving. He had normal right lower limb power and sensation and grade 4+ motor power of the left lower limb. Bowels and bladder function was normal. Conclusion: Isolated tuberculous spinal epidural abscess is a rare disease and should be treated urgently with evacuation and decompression. Signs of spondylitis or spondylodiscitis may appear later and therefore long follow up is recommended in tuberculous cases presenting with an isolated epidural abscess.

scholarly journals A Case of Lumbar Spinal Epidural Abscess.

1993 ◽  
Vol 42 (4) ◽  
pp. 1547-1551
Author(s):  
Shinichi Tomohiro ◽  
Bin Haga ◽  
Yasurou Kuga ◽  
Toshiyuki Ando
Keyword(s):  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Lumbar Spinal ◽  
Spinal Epidural

Minimally invasive treatment of multilevel spinal epidural abscess

2013 ◽  
Vol 18 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Sam Safavi-Abbasi ◽  
Adrian J. Maurer ◽  
Craig H. Rabb
Keyword(s):  
Minimally Invasive ◽  
Epidural Abscess ◽  
Minimally Invasive Treatment ◽  
Spinal Epidural Abscess ◽  
Invasive Treatment ◽  
Tubular Retractor ◽  
Spinal Epidural

The use of minimally invasive tubular retractor microsurgery for treatment of multilevel spinal epidural abscess is described. This technique was used in 3 cases, and excellent results were achieved. The authors conclude that multilevel spinal epidural abscesses can be safely and effectively managed using microsurgery via a minimally invasive tubular retractor system.

Paraspinal Edema Is the Most Sensitive Feature of Lumbar Spinal Epidural Abscess on Unenhanced MRI

2017 ◽  
Vol 209 (1) ◽  
pp. 176-181 ◽  
Author(s):  
Anna Shifrin ◽  
Qin Lu ◽  
Michael H. Lev ◽  
Timothy M. Meehan ◽  
Ranliang Hu
Keyword(s):  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Lumbar Spinal ◽  
Spinal Epidural
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