Search our Database of Scientific Publications and Authors

I’m looking for a

    2667 results match your criteria Epidural Abscess

    1 OF 54

    A case series of continuous paravertebral block in minimally invasive cardiac surgery.
    JA Clin Rep 2017 29;3(1):45. Epub 2017 Aug 29.
    2Department of Anesthesia, Ohnishi Neurological Center, 1661-1 Eigashima Ookubo-cho, Akashi, Hyogo 674-0064 Japan.
    Background: Minimally invasive cardiac surgery (MICS), via minithoracotomy, is thought to be a fast track to extubation and recovery after surgery. For this, good coverage analgesia is essential. Epidural anesthesia, a standard technique for thoracic surgery, has high risk of complications, such as epidural abscess and spinal hematoma in open-heart surgery. Read More

    Imaging of Spondylodiscitis.
    Semin Nucl Med 2018 Mar 6;48(2):131-147. Epub 2018 Feb 6.
    Department of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
    Spondylodiscitis is an infection of the vertebral body or disc and may also involve the epidural space, posterior elements, and paraspinal soft tissues. It is a cause of morbidity and mortality, and warrants early diagnosis and prompt treatment. Diagnosis can be difficult because of nonspecific signs and symptoms. Read More

    Spinal Cord Infarction Mimicking Acute Transverse Myelitis.
    Cureus 2017 Dec 6;9(12):e1911. Epub 2017 Dec 6.
    Department of General Medicine, Sengkang General Hospital, Sengkang Health, Singhealth.
    Spinal cord infarction (SCI) is a rare type of stroke. The initial magnetic resonance imaging (MRI) is usually normal and can mimic the presentation of the acute transverse myelitis (ATM), acute inflammatory demyelinating polyneuropathy, and compressive myelopathies from neoplasm, epidural or subdural hematoma, or abscess. The aim of this report is to describe and discuss the case of a patient with SCI presenting as a diagnostic confusion with acute transverse myelitis. Read More

    Spinal cord compression secondary to epidural abscess: the importance of prompt diagnosis and management.
    BMJ Case Rep 2018 Feb 7;2018. Epub 2018 Feb 7.
    Acute Medicine, William Harvey Hospital, Ashford, UK.
    A 66-year-old woman presented with a 4-day history of fever, lethargy, neck and lower back pain. Neurological examination revealed mild quadraparesis. In view of this, MRI whole spine with contrast was performed and showed extensive spinal epidural abscess extending from the cervical to lumbar region causing compression of the thecal sac, spinal cord and nerves. Read More

    Man-in-the-barrel syndrome: Case report of ventral epidural abscess and review of the literature.
    Surg Neurol Int 2018 16;9. Epub 2018 Jan 16.
    Department of Neurosurgery, Henry Ford Health System, Detroit, Michigan, USA.
    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 cervical epidural abscess diagnosed on magnetic resonance imaging. Read More

    Neurological Complications of Acute and Chronic Sinusitis.
    Curr Neurol Neurosci Rep 2018 Feb 5;18(2). Epub 2018 Feb 5.
    Loyola University Medical Center, Maywood, IL, USA.
    Purpose Of Review: Acute and chronic sinusitis can give rise to a wide array of intracranial and orbital complications. These complications include brain abscess, subdural empyema, epidural abscess, meningitis, venous sinus thrombosis, frontal bone osteomyelitis, and orbital cellulitis and abscess. Despite numerous medical advances, these complications carry a risk of mortality and significant morbidity. Read More

    Tubercular spondylitis: A review of MRI findings in 80 cases.
    Med J Armed Forces India 2018 Jan 30;74(1):11-17. Epub 2016 Nov 30.
    Associate Professor, Department of Radiodiagnosis, Armed Forces Medical College, Pune 411040, India.
    Background: Tuberculosis of spine is known as tubercular spondylitis or Pott's spine. The vertebral involvement leads to various pathological processes such as abscess formation, cord compression, and gibbus deformity. Magnetic Resonance Imaging (MRI) is the imaging modality of choice which not only helps in diagnosing a case of Pott's spine but also gives valuable information about its impending complications, thereby, aiding in management of these cases. Read More

    Management of spinal infection: a review of the literature.
    Acta Neurochir (Wien) 2018 Mar 22;160(3):487-496. Epub 2018 Jan 22.
    Department of Neurosurgery, Medical University lnnsbruck, Anichstrasse 35, A-6020, Innsbruck, Austria.
    Spinal infection (SI) is defined as an infectious disease affecting the vertebral body, the intervertebral disc, and/or adjacent paraspinal tissue and represents 2-7% of all musculoskeletal infections. There are numerous factors, which may facilitate the development of SI including not only advanced patient age and comorbidities but also spinal surgery. Due to the low specificity of signs, the delay in diagnosis of SI remains an important issue and poor outcome is frequently seen. Read More

    Spinal tuberculosis: Clinicoradiological findings in 274 patients.
    Clin Infect Dis 2018 Jan 11. Epub 2018 Jan 11.
    Department of Neurology, Inkosi Albert Luthuli Central Hospital, Cato Manor, Durban, South Africa.
    Background: Mycobacterium tuberculosis is a major cause of myelopathy and radiculopathy in high TB/HIV prevalent settings. However, a paucity of publications exists on the spectrum of neurological and magnetic resonance imaging (MRI) findings of spinal tuberculosis in these populations.

    Methods: A retrospective study of adults with spinal tuberculosis conducted at a referral center for patients with spinal disease without bony involvement on plain film radiography in South Africa. Read More

    DISC: Describing Infections of the Spine treated with Ceftaroline.
    J Glob Antimicrob Resist 2018 Jan 11. Epub 2018 Jan 11.
    Case Western Reserve University School of Medicine, Cleveland, OH, USA; Department of Medicine, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH, USA.
    Objectives: Spine infections lead to considerable morbidity and high cost to the global health care system. Currently, the evidence for using ceftaroline, an advanced-generation cephalosporin active against methicillin-resistant Staphylococcus aureus (MRSA), in spine infections is limited.

    Methods: Describing Infections of the Spine treated with Ceftaroline (DISC) is a multicenter retrospective cohort study that evaluated ceftaroline for treating spine infections. Read More

    Expansile manubriotomy for ventral cervicothoracic junction disease.
    Neurol India 2018 Jan-Feb;66(1):168-173
    Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India.
    Cervicothoracic junction can be approached anteriorly, anterolaterally, posterolaterally, and posteriorly. The anterior approaches in this region best address the ventral vertebral body disease but may cause significant morbidity. Twelve patients with their disease process located ventral to the spinal cord in the cervicothoracic junction underwent expansile manubriotomy and corpectomy. Read More

    Spondylodiscitis: Diagnosis and Treatment Options.
    Dtsch Arztebl Int 2017 Dec;114(51-52):875-882
    Department for Trauma and Reconstructive Surgery, University Hospital RWTH Aachen; Department I for Internal Medicine, University Hospital Cologne; Center of Orthopedic and Trauma Surgery, University Hospital Cologne; Center for Orthopaedics and Trauma Surgery, Rhein-Maas Klinikum GmbH, Würselen.
    Background: A recent population-based study from Denmark showed that the incidence of spondylodiscitis rose from 2.2 to 5.8 per 100 000 persons per year over the period 1995-2008; the age-standardized incidence in Germany has been estimated at 30 per 250 000 per year on the basis of data from the Federal Statistical Office (2015). Read More

    Spinal cord injury arising in anaesthesia practice.
    Anaesthesia 2018 Jan;73 Suppl 1:43-50
    Anaesthesia & Critical Care, School of Medicine, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK.
    Spinal cord injury arising during anaesthetic practice is a rare event, but one that carries a significant burden in terms of morbidity and mortality. In this article, we will review the pathophysiology of spinal cord injury. We will then discuss injuries relating to patient position, spinal cord hypoperfusion and neuraxial techniques. Read More

    Epidural Metastasis in Malignant Thymoma Mimicking Epidural Abscess: Case Report and Literature Review.
    Korean J Spine 2017 Dec 31;14(4):162-165. Epub 2017 Dec 31.
    Department of Neurosurgery, Gyeongsang National University School of Medicine, Jinju, Korea.
    Thymoma and thymic carcinoma are rare epithelial tumors that originate from the thymus gland. Extrathoracic metastases occur in the liver, kidney, and bone in 1% to 15% of patients. Although thymoma and thymic carcinoma exhibit highly aggressive biological behavior, spinal metastasis is rare. Read More

    Diffuse Nocardial Spinal Subdural Empyema: Diagnostic Dilemma and Treatment Options.
    Cureus 2017 Oct 24;9(10):e1795. Epub 2017 Oct 24.
    Department of Neurosurgery, University of Louisville School of Medicine.
    Nocardiosis of the central nervous system and spine, in particular, is a rare infection with significant morbidity and mortality. Treatment is usually with antibiotics and surgical drainage or biopsy. The authors report a case of a 49-year-old man who presented with chronic lower back pain and paraplegia. Read More

    Features of Prevertebral Disease in Patients Presenting to a Head and Neck Surgery Clinic with Neck Pain.
    Ann Maxillofac Surg 2017 Jul-Dec;7(2):228-231
    Department of Surgery, Florida Atlantic University, Boca Raton, Florida, USA.
    Introduction: Untreated prevertebral space infections, which can be overlooked because of connections with surrounding spaces, may lead to spinal epidural accumulations that cause cord compression. The aim of this study was to analyze the epidemiologic and diagnostic features of cases of prevertebral disease encountered by head and neck specialists.

    Materials And Methods: The study was designed as a retrospective chart review of 11 patients with prevertebral disease who presented to a head and neck surgery specialist for consultation from 2004 to 2010. Read More

    Odontoid-sparing transnasal approach for drainage of craniocervical epidural abscess; a novel technique and review of the literature.
    Spine J 2017 Dec 15. Epub 2017 Dec 15.
    Helios Klinikum Erfurt, Nordhaeuser St 74, 99089 Erfurt, Germany.
    Background Context: Surgical approaches to the craniovertebral junction (CVJ) are challenging. Available approaches include posterior, transoral, endonasal, and anterior extended retropharyngeal approach. Resection of the odontoid process is necessary to gain access to the pathology posterior to it. Read More

    Edwardsiella tarda Bacteremia with Psoas and Epidural Abscess as a Food-borne Infection: A Case Report and Literature Review.
    Intern Med 2017 Dec 8. Epub 2017 Dec 8.
    Division of General Medicine, Department of Internal Medicine, Nihon University School of Medicine, Japan.
    Edwardsiella tarda is commonly isolated from aquatic environments and a variety of animals. We present the first case of E. tarda bacteremia with psoas and epidural abscess. Read More

    Pyogenic Odontoid Osteomyelitis with Sinus Thrombosis.
    Case Rep Radiol 2017 29;2017:2507645. Epub 2017 Oct 29.
    Department of Neurology, Hofstra Northwell Health, Staten Island University Hospital, Staten Island, NY, USA.
    71/F presented with left sided headaches and neck pain with nuchal rigidity progressively worsening over 3 weeks with no other neurologic symptoms. Odontoid osteomyelitis with epidural abscess was discovered on further workup with neuroimaging. Concurrent jugular vein and transverse sinus venous thrombosis was also found and suspected to be secondary to the pyogenic odontoid osteomyelitis. Read More

    Pyogenic vertebral osteomyelitis of the elderly: Characteristics and outcomes.
    PLoS One 2017 5;12(12):e0188470. Epub 2017 Dec 5.
    Department of Internal Medicine and Infectious Diseases, University Hospital of Tours, Hôpital Bretonneau, Tours, France.
    Background: The incidence of pyogenic vertebral osteomyelitis (PVO) has increased over the past two decades. One possible cause of this increase is the aging of the population, which results in more comorbidities in high income countries.

    Objective: To better characterize the clinical presentation and outcome of PVO in the elderly. Read More

    Epidural abscess imitating recurrent pilonidal sinus: a case report.
    G Chir 2017 May-Jun;38(3):135-138
    Pilonidal sinus or pilonidal cyst is a common benign disease, affecting mostly young working men. We present the first case of an epidural abscess imitating pilonidal sinus. A 33-year old male, suffering from previously undiagnosed and untreated diabetes mellitus (DM), presented to our emergency department (ER), one month after open surgical treatment of pilonidal sinus, due to weakness and fever. Read More

    Rehabilitation Outcomes in Spinal Abscess Patients With and Without a History of Intravenous Substance Abuse.
    Am J Phys Med Rehabil 2017 Nov 20. Epub 2017 Nov 20.
    Department of Physical Medicine and Rehabilitation, University of Kentucky, Lexington, KY, USA.
    Objective: To compare functional outcomes of acute inpatient rehabilitation for spinal epidural abscess (SEA) patients with and without history of intravenous substance abuse (IVSA).

    Design: Retrospective case series study in freestanding rehabilitation hospital.

    Methods: Charts of 28 SEA patients admitted from 01/2012 to 9/2015: 13 with IVSA and 15 without IVSA were reviewed. Read More

    Autoantibodies to Granulocyte-Macrophage Colony-Stimulating Factor Associated With Severe and Unusual Manifestations ofInfections.
    Open Forum Infect Dis 2017 5;4(4):ofx211. Epub 2017 Oct 5.
    National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
    infections, especially including those with severe clinical manifestations, may be related to underlying host immunologic factors. We present 2 cases with autoantibodies to granulocyte-macrophage colony-stimulating factor (GM-CSF), a key cytokine in macrophage function. Immunologic evaluation for anti-GM-CSF antibodies may be important to inform management and counseling. Read More

    Safety and Complications of Cervical Epidural Steroid Injections.
    Phys Med Rehabil Clin N Am 2018 Feb 7;29(1):155-169. Epub 2017 Oct 7.
    Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, 2201 Children's Way Suite 1318, Nashville, TN 37212, USA.
    Serious neurologic complications following cervical transforaminal epidural steroid injections (CTFESI) and cervical interlaminar epidural steroid injections (CILESI) have been reported. For CILESI, this is caused by aberrant needle placement or space-occupying lesions, such as hematoma or abscess. For CTFESI, this is caused by embolic infarct when inadvertent intra-arterial injection of particulate steroids has occurred. Read More

    Multilevel lumbar spine infection due to poor dentition in an immunocompetent adult: a case report.
    J Med Case Rep 2017 Nov 22;11(1):328. Epub 2017 Nov 22.
    Department of Anesthesiology, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN, 55905, USA.
    Background: Although spinal infections have been reported following dental procedures, development of a spinal infection attributed to poor dentition without a history of a dental procedure in an immunocompetent adult has not been previously reported. Here we provide a case report of a multilevel lumbar spine infection that developed in an immunocompetent adult with poor dentition.

    Case Presentation: A 63-year-old white male man with past medical history of hypertension presented to a hospital emergency department with a 4-month history of progressively worsening low back pain. Read More

    A Case Report of Refractory Notalgia Paresthetica Treated with Lidocaine Infusions.
    Am J Case Rep 2017 Nov 20;18:1225-1228. Epub 2017 Nov 20.
    Department of Anesthesiology and Chronic Pain Management, University Hospital of Montreal (CHUM), Montreal, QC, Canada.
    BACKGROUND Notalgia paresthetica is a neuropathic condition that manifests as a chronic itch in the thoraco-dorsal region. It is often resistant to treatment, and specific guidelines for its management are lacking. As such, we present a treatment approach with intravenous lidocaine infusions. Read More

    Epidural abscess caused by Schizophyllum commune: A rare case of rhinogenic cranial complication by a filamentous basidiomycete.
    Mycoses 2018 Mar 5;61(3):213-217. Epub 2017 Dec 5.
    Graduate School of Medicine, Teikyo University, Tokyo, Japan.
    Central nervous system (CNS) infections due to filamentous basidiomycetes are extremely rare. We encountered a case of epidural abscess due to Schizophyllum commune that extended from sinusitis. A 53-year-old Japanese man presented at our hospital with a headache. Read More

    A case of panspinal epidural abscess that presented with meningeal irritation.
    Acute Med Surg 2017 Jul 6;4(3):363-366. Epub 2017 Jul 6.
    Department of Disaster and Emergency MedicineKobe University Graduate School of MedicineKobe CityHyogoJapan.
    Case: In rare cases, spinal epidural abscess involves the entire spine and can lead to neurological deficits and sepsis if treatment is delayed or suboptimal. A 65-year-old man was admitted with a diagnosis of bacterial meningitis. After admission, magnetic resonance imaging showed a spinal epidural abscess from the cervical to lumbar spine. Read More

    Holospinal epidural abscess combined with multifocal extraspinal abscesses in an elderly patient with rheumatoid arthritis receiving infliximab therapy.
    J Neurosurg Sci 2017 Nov 7. Epub 2017 Nov 7.
    Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, NY, USA -

    Holospinal epidural abscesses - Institutional experience.
    J Clin Neurosci 2018 Feb 4;48:18-27. Epub 2017 Nov 4.
    Department of Neurological Surgery, Oregon Health & Science University, Portland, OR, United States. Electronic address:
    Purpose: The authors present a holospinal epidural abscesses (HEA) case series and a single institution's experience with varied surgical approaches and outcomes.

    Methods: Medical records were queried and reviewed (6 years) for patients with a spinal abscess diagnosis; HEA were selected. Medical history, comorbidities, blood and epidural pathogens, presentation symptoms, abscess location, presence of mass effect, surgical procedures, treatment regimens, and neurological outcomes were collected. Read More

    Hypothermia with Extreme Bradycardia following Spinal Cord Infarction of Septic Origin.
    Case Rep Neurol Med 2017 4;2017:1351549. Epub 2017 Oct 4.
    Department of Neuroradiology, Cliniques Universitaires St-Luc, Brussels, Belgium.
    Among other autonomic dysfunctions complicating acute spinal cord injury, deep hypothermia is rare but may induce serious cardiovascular complications. There are few pharmacological options to influence hypothermia. A 66-year-old woman was transferred to the intensive care unit (ICU) for serious cardiac arrhythmias (atrial fibrillation and asystole) in the context of a deep hypothermia (axillary temperature below 32°C). Read More

    Thoracic Spinal Cord Glioblastoma Mimicking Epidural Abscess: Case Report and Literature Review.
    Cureus 2017 Aug 31;9(8):e1631. Epub 2017 Aug 31.
    Neurological Surgery, OhioHealth.
    Spinal cord glioblastoma (SG) accounts for 1.5% of all spinal tumors and has a poor prognosis with survival ranging from 2 to 26 months from presentation. A 57-year-old male presented with one week of paraparesis and contrasted magnetic resonance imaging (MRI) findings of an epidural enhancing thoracic mass suspicious for an epidural abscess. Read More

    Thoracic Spondylodiscitis Epidural Abscess in an Afebrile Navy Veteran: A Case Report.
    J Chiropr Med 2017 Sep 19;16(3):246-251. Epub 2017 Sep 19.
    Primary Care, VA Butler Healthcare, Butler, Pennsylvania.
    Objective: The purpose of this case study was to describe the differential diagnosis of a thoracic epidural abscess in a Navy veteran who presented to a chiropractic clinic for evaluation and management with acupuncture within a Veterans Affairs Medical Center.

    Clinical Features: An afebrile 59-year-old man with acute thoracic spine pain and chronic low back pain presented to the chiropractic clinic at a Veterans Affairs Medical Center for consideration for acupuncture treatment.

    Intervention And Outcome: The veteran elected to trial acupuncture once per week for 4 weeks. Read More

    Acute Calcific Tendinitis of the Longus Colli Muscle: Report of Two Cases and Review of the Literature.
    Cureus 2017 Aug 23;9(8):e1597. Epub 2017 Aug 23.
    Department of Radiology, Yale New Haven Health System.
    Acute calcific tendinitis (ACT) of the longus colli muscle is a rare cause of debilitating neck pain. The ACT is presumed to be an aseptic inflammatory process of the superior oblique tendons of the longus colli muscle. It is often confused with other more concerning conditions including trauma, epidural abscess, disc herniation, and neoplasm. Read More

    A Case of Infective Endocarditis and Spinal Epidural Abscess Caused byBacteremia.
    Case Rep Infect Dis 2017 5;2017:7289032. Epub 2017 Sep 5.
    Case Western Reserve University School of Medicine, Cleveland, OH, USA.
    A 57-year-old man presented with abdominal pain, hematemesis, and melena. He reported taking high-dose ibuprofen for back pain and drinking several 24-ounce beers daily. Examination was remarkable for icteric sclera, poor dentition, tachycardia, and crescendo-decrescendo murmur at right upper sternal border, radiating to the carotids. Read More

    Five Hundred Seventy-Six Cases of Video-Assisted Thoracic Surgery Using Local Anesthesia and Sedation: Lessons Learned.
    J Am Coll Surg 2018 Jan 14;226(1):58-63. Epub 2017 Oct 14.
    Department of Surgery, Sinai Hospital and Northwest Hospital, Baltimore, MD. Electronic address:
    Background: General anesthesia and endotracheal intubation are a luxury rather than a necessity for many video-assisted thoracic surgery (VATS) operations. Twenty-three years ago, I began using local anesthesia and sedation for pleural disease and subsequently, for pericardial and lung disease.

    Study Design: The records of all patients undergoing VATS using local anesthesia and sedation at hospitals of the Geisinger Health System (Danville and Wilkes-Barre, PA), from June 1, 2002 to June 30, 2011, and the Lifebridge Health System (Baltimore, MD) from July 1, 2011 to March 1, 2017, were retrospectively reviewed. Read More

    Use of Epidural Analgesia as an Adjunct in Elective Abdominal Wall Reconstruction: A Review of 4983 Cases.
    Perm J 2017 ;21
    Plastic and Reconstructive Surgeon at Henry Ford Hospital in Detroit, MI.
    Context: Use of epidural analgesia in patients undergoing elective abdominal wall reconstruction is common.

    Objective: To assess the impact of epidural analgesia in patients undergoing abdominal wall reconstruction.

    Design: All patients who underwent elective ventral hernia repair from 2005 to 2014 were retrospectively identified. Read More

    Spinal epidural abscess: Report on 27 cases.
    Surg Neurol Int 2017 26;8:240. Epub 2017 Sep 26.
    Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India.
    Background: Spinal epidural abscess, although an uncommon disease, often correlates with a high morbidity owing to significant delay in diagnosis.

    Methods: In a prospective 5-year study, the clinical and magnetic resonance (MR) findings, treatment protocols, microbiology, and neurological outcomes were analyzed for 27 patients with spinal epidural abscess.

    Results: Patients were typically middle-aged with underlying diabetes and presented with lumbar abscesses. Read More

    The Utility of Local Anesthesia for Neurosurgical Interventions in a Low-Resource Setting: A Case Series.
    World J Surg 2017 Oct 11. Epub 2017 Oct 11.
    UNC -Project Malawi, Lilongwe, Malawi.
    Introduction: Trauma is a major contributor to global morbidity and mortality, and injury to the central nervous system is the most common cause of death in these patients. While the provision of surgical services is being recognized as essential to global public health efforts, specialty areas such as neurosurgery remain overlooked.

    Method: This is a retrospective case review of patients with operable lesions, such as extra-axial hematomas and unstable depressed skull fractures that underwent neurosurgical interventions under local anesthesia. Read More

    A Good Short-term Outcome in Delayed Decompression of Cauda Equina Syndrome inSpinal Epidural Abscess: A Case Report.
    Malays Orthop J 2017 Jul;11(2):85-88
    Department of Orthopaedics, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
    Spinal epidural abscess is a severe, generally pyogenic, infection of the epidural space of spinal cord or cauda equina. The swelling caused by the abscess leads to compression or vascular disruption of neurological structures that requires urgent surgical decompression to avoid significant permanent disability. We share a rare case ofspinal epidural abscess secondary to haematogenous spread of previous lung infection that presented late at our centre with cauda equina syndrome that showed good short-term outcome in delayed decompression. Read More

    Cervical epidural analgesia complicated by epidural abscess: A case report and literature review.
    Medicine (Baltimore) 2017 Oct;96(40):e7789
    a903 Hospital, Jiangyou City, Sichuan Province bThe Second Affiliated Hospital, State Key Clinical Specialty in Pain Medicine, Guangzhou Medical University, Guangzhou, Guangdong, P.R. China.
    Rationale: Spinal epidural abscess is an uncommon complication in clinical practice. If the abscess is large enough, the patient will rapidly develop neurologic signs of spinal injury, and urgent neurosurgical intervention may be required.

    Patient Concerns: Rapid and correct diagnosis and treatment is important for spinal epidural abscess complication. Read More

    Spontaneous Spondylodiscitis - Epidemiology, Clinical Features, Diagnosis and Treatment.
    Folia Med (Plovdiv) 2017 09;59(3):254-260
    Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
    Spontaneous spondylodiscitis is a rare but serious infectious disease which is a combination of an inflammatory process, involving one or more adjacent vertebral bodies (spondylitis), the intervertebral discs (discitis) and finally - the neighboring neural structures. In most cases the condition is due to a hematogenous infection and can affect all regions of the spinal cord, but it is usually localized in the lumbar area. The most common clinical symptom is a pronounced, constant and increasing nocturnal paravertebral pain, while consequently different degrees of residual neurological symptoms from nerve roots and/or spinal cord may appear. Read More

    CT-guided minimally invasive treatment for an extensive spinal epidural abscess: a case report and literature review.
    Eur Spine J 2017 Sep 22. Epub 2017 Sep 22.
    Pain Department, The First Affiliated Hospital of GanNan Medical University, No. 23, Qingnian Road, Ganzhou, China.
    Purpose: We present a case involving an extensive epidural abscess that was successfully treated with computed tomography (CT)-guided percutaneous needle drainage and systemic antibiotic therapy.

    Methods: A 44-year-old woman with a history of spine injection procedures complained of severe backache and progressive radiating pain in her right lower extremity followed by sensory deficits in her right lower limb. A laboratory examination revealed leukocytosis and hyperglycemia. Read More

    Lumbar Spine Infection by Granulicatella and Abiotrophia Species.
    World Neurosurg 2017 Dec 20;108:997.e1-997.e3. Epub 2017 Sep 20.
    Orthopaedic Surgery, University of Rochester, Rochester, New York, USA. Electronic address:
    Background: The Granulicatella and Abiotrophia species are streptococci and natural inhabitants of the oral and urogenital flora. They are uncommonly associated with human pathology, although they can cause septicemia, endocarditis, or bacteremia. These microorganisms are difficult to culture and identify due to particular microenvironment requirements. Read More

    1 OF 54