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    Oesophageal pleural fistula presenting with Parvimonas micra infection causing cervical and brain abscesses.
    Anaerobe 2017 Jun 22. Epub 2017 Jun 22.
    Academic Neurosurgery Unit, St George's University of London, London, UK.
    Parvimonas micra (P. micra) infections causing spinal cord compression are extremely rare. We report an occult oesophageal pleural fistula presenting with spinal epidural and brain abscesses resulting in severe neurological deficits caused by P. Read More

    Disco vertebral osteomyelitis causing intradural spinal abscess with cauda equina compression.
    Br J Neurosurg 2017 Mar 3:1-3. Epub 2017 Mar 3.
    a Academic Neurosurgery Unit, Atkinson Morley Neurosurgery Centre , St George's, University of London , London , UK.
    Intradural extramedullary spinal infections causing cauda equina compression are uncommon. We report an Escherichia coli bacteraemia causing lumbar discitis and an intracanalicular collection compressing the cauda equina: initially thought to be an epidural empyema, however microsurgery revealed an intradural location. Decompression, drainage, antibiotics, and neuropathy treatment are essential management. Read More

    Minimally invasive spine surgery in lumbar spondylodiscitis: a retrospective single-center analysis of 67 cases.
    Eur Spine J 2017 Jun 12. Epub 2017 Jun 12.
    Department of Neurosurgery, Medical University Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
    Background: Minimally invasive surgical techniques have been developed to minimize tissue damage, reduce narcotic requirements, decrease blood loss, and, therefore, potentially avoid prolonged immobilization. Thus, the purpose of the present retrospective study was to assess the safety and efficacy of a minimally invasive posterior approach with transforaminal lumbar interbody debridement and fusion plus pedicle screw fixation in lumbar spondylodiscitis in comparison to an open surgical approach. Furthermore, treatment decisions based on the patient´s preoperative condition were analyzed. Read More

    [Spondylodiscitis : Current strategies for diagnosis and treatment].
    Orthopade 2017 Jun 6. Epub 2017 Jun 6.
    Klinik für Orthopädie und Unfallchirurgie, Universität Duisburg-Essen, Universitätsklinikum Essen, Hufelandstr. 55, 45147, Essen, Deutschland.
    Spondylodiscitis is a severe infectious disease of the intervertebral discs and of the adjacent parts of the vertebral bodies, culminating in destruction of the mobile segment. It is accompanied by a mortality rate of approximately 15%. Severe courses of the disease can also lead to abscess formation and dispersal of sepsis. Read More

    Magnetic resonance imaging of bacterial and tuberculous spondylodiscitis with associated complications and non-infectious spinal pathology mimicking infections: a pictorial review.
    BMC Musculoskelet Disord 2017 Jun 5;18(1):244. Epub 2017 Jun 5.
    Department of Radiology, Yale New Haven Health System at Bridgeport Hospital, 267 Grant Street, Bridgeport, 06610, CT, USA.
    Magnetic resonance (MR) imaging plays an important role in the evaluation of bacterial and tuberculous spondylodiscitis and associated complications. Owing to its high sensitivity and specificity, it is a powerful diagnostic tool in the early diagnosis of ongoing infections, and thus provides help in prompt initiation of appropriate, therapy which may be medical or surgical, by defining the extent of involvement and detection of complications such as epidural and paraspinal abscesses. More specifically, MR imaging helps in differentiating bacterial from tuberculous infections and enables follow up of progression or resolution after appropriate treatment. Read More

    Characteristics of and risk factors for severe neurological deficit in patients with pyogenic vertebral osteomyelitis: A case-control study.
    Medicine (Baltimore) 2017 May;96(21):e6387
    aDepartment of Infectious Diseases, University Hospital of Tours, Francois Rabelais University, Tours bClinical Research Unit, University Hospital A. Paré, APHP, Boulogne cInfectious Diseases Unit, University Hospital R. Poincaré, APHP, Versailles Saint Quentin University, Garches dDepartment of Internal Medicine, University Hospital Beaujon, APHP, Clichy eRadiology Department, Neuro-musculoskeletal Pole, University Hospital R Poincaré, APHP, Versailles University, Paris-Saclay UMR 1179, Garches fDepartment of Neurosurgery University Hospital of Tours, Tours gDepartment of Infectious Diseases, University Hospital of Limoges, Limoges hDepartment of Infectious Diseases, Mignot Hospital, Versailles iDepartment of Infectious Diseases, Bichat-Claude Bernard University Hospital, APHP, Paris jDepartment of Infectious Diseases, Hotel-Dieu University Hospital, Nantes kInfectious Diseases and Intensive Care Unit, Pontchaillou University Hospital, Rennes lDepartment of Infectious Diseases, Clinique du Parc, Lyon mDepartment of Neuroradiology, University Hospital of Tours, Francois Rabelais University, Tours, France.
    Severe neurological deficit (SND) is a rare but major complication of pyogenic vertebral osteomyelitis (PVO). We aimed to determine the risk factors and the variables associated with clinical improvement for SND during PVO.This case-control study included patients without PVO-associated SND enrolled in a prospective randomized antibiotic duration study, and patients with PVO-associated SND managed in 8 French referral centers. Read More

    [Rare medico-surgical emergency: spinal epidural abscess (about 3 cases)].
    Pan Afr Med J 2017 14;26:145. Epub 2017 Mar 14.
    Service Neurochirurgie, CHU Hassan II, Fès, Maroc.
    The awareness about infections in the epidural space is increasing thanks to the development of neurosurgery, including MRI. Spinal epidural abscess is a rare pathology but extremely serious from a functional point of view and potentially life threatening. We report three cases of male patients (the first one aged 52 years, the second 57 years and the third 63 years) with diagnosed spinal epidural abscess. Read More

    Patient presenting with frontal subperiosteal abscess and headache: a case of Pott's puffy tumour.
    Br J Neurosurg 2017 May 22:1-3. Epub 2017 May 22.
    a Department of Neurosurgery , Gülhane Military Medical Academy, Haydarpaşa Teaching Hospital , Istanbul , Turkey.
    Chronic sinusitis can be complicated with erosion of anterior or posterior wall of the sinus; causing Pott's puffy tumour in the anterior, or epidural abscess in the posterior communication. A 65-year old man with a painful swelling in his forehead is presented. Pott's puffy tumour was diagnosed. Read More

    Pseudogout of the cervical and thoracic spine mimicking infection after lumbar fusion: case report.
    J Neurosurg Spine 2017 May 19:1-5. Epub 2017 May 19.
    Department of Neurological Surgery, and.
    Pseudogout is a form of acute calcium pyrophosphate deposition (CPPD) disease that typically afflicts the elderly. CPPD commonly involves larger joints, such as the knees, wrists, shoulders, and hips, and has been known to involve the spine. The authors report the case of a 66-year-old woman with a recent history of lumbar laminectomy and fusion who presented 5 weeks postprocedure with a clinical and radiographic picture consistent with multilevel skip lesions involving the cervical and thoracic spine, thoracic discitis, and epidural abscess. Read More

    [Pediatric case report: Spinal epidural abscess].
    Arch Argent Pediatr 2017 Jun;115(3):e146-e149
    Hospital Interzonal Especializado Materno Infantil "Don Victorio Tetamanti", Mar del Plata.
    Spinal epidural abscess is an uncommon pathology. It has an incidence of one case per 100 000 individuals. An increase is observed due to the raise of risk factors such as diabetes mellitus, spinal abnormalities, tattoos, acupuncture, epidural analgesia, and a greater availability of imaging methods. Read More

    Assessment of malpractice claims due to spinal epidural abscess.
    J Neurosurg Spine 2017 May 12:1-8. Epub 2017 May 12.
    Division of Spine Surgery, Department of Orthopaedics, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
    OBJECTIVE Spinal epidural abscesses (SEAs) can be difficult to diagnose and may result in neurological compromise or even death. Delays in diagnosis or treatment may worsen the prognosis. While SEA presents a high risk for litigation, little is known about the medicolegal ramifications of this condition. Read More

    Diskitis, Osteomyelitis, Spinal Epidural Abscess, Meningitis, and Endocarditis Following Sacroiliac Joint Injection for the Treatment of Low-Back Pain in a Patient on Therapy for Hepatitis C Virus.
    Reg Anesth Pain Med 2017 Jul/Aug;42(4):517-520
    From the *Department of Anesthesiology and †Division of Infectious Diseases, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
    Objective: Sacroiliac joint injections are frequently performed procedures in the management of acute and chronic low-back pain, including patients with various immunocompromised states. Infectious complications following these procedures along with other spinal injections are rarely reported, but the true incidence is unknown. The purpose of this report is to highlight the devastating neurologic sequela that can occur, and to discuss potential future management strategies. Read More

    Spinal subdural abscess following repeat lumbar microdiscectomy: A case report of imaging findings for a rare infection.
    Clin Imaging 2017 Jul - Aug;44:74-78. Epub 2017 Apr 27.
    University of Virginia, Department of Radiology and Medical Imaging, United States. Electronic address:
    Spinal subdural abscess is a rare central nervous system infection with just over a hundred cases reported. It is much less common than spinal epidural abscess. While most case reports have focused on route of infection and treatment options, there have not been any reports that focused on the unique MRI findings of spinal subdural abscess. Read More

    Cervical Spondylodiscitis: Presentation, Timing, and Surgical Management in 59 Patients.
    World Neurosurg 2017 Apr 27. Epub 2017 Apr 27.
    Background: Cervical spondylodiscitis is thought to carry a significant risk for rapid neurologic deterioration with a poor response to nonsurgical management.

    Methods: A retrospective surgical case series of the acute surgical management of cervical spondylodiscitis is reviewed to characterize the neurologic presentation and postoperative neurologic course in a relatively uncommon disease.

    Results: 59 patients were identified (mean age 59 yrs, range 18-83yrs, SD ±13. Read More

    A Pott's Puffy Tumor Associated with Epidural - Cutaneous Fistula and Epidural Abscess: Case Report.
    Balkan Med J 2017 May 13;34(3):284-287. Epub 2017 Apr 13.
    Department of Neurosurgery, Military Medical Academy School of Medicine, Belgrade, Serbia.
    Background: Pott's puffy tumour is characterized by a fluctuate swelling of the frontal region as a result of osteomyelitis of the frontal bone. This inflammatory lesion may propagate endocranially, resulting in acute meningitis, epidural abscess, subdural empyema, cavernous sinus trombophlebitis, cerebritis, and frontal lobe abscess of the brain.

    Case Report: We present an unusual case of a 33-year-old man suffering from Pott's puffy tumour whose condition was further complicated by a draining epidural-cutaneous fistula and an epidural abscess. Read More

    Diagnosis of spinal epidural abscess: a case report and literature review.
    Spinal Cord Ser Cases 2017 6;3:17013. Epub 2017 Apr 6.
    Department of Emergency Medicine, Cedars Sinai Medical Center, Los Angeles, CA, USA.
    Introduction: Spinal epidural abscess (SEA) is a rare but serious cause of back pain in the critical care setting. It occurs most commonly in adults in their fifth and sixth decades of life. Risk factors include diabetes mellitus, alcoholism, AIDS or other immunocompromised states, cancer, intravenous drug use, trauma and spinal surgery. Read More

    A spinal epidural abscess due to Streptobacillus moniliformis infection following a rat bite: case report.
    J Neurosurg Spine 2017 Apr 21:1-5. Epub 2017 Apr 21.
    Mikrobiologisches Institut-Klinische Mikrobiologie, Immunologie und Hygiene, Friederich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, Erlangen, Germany ; and.
    The authors describe the case of a 40-year-old man suffering from an epidural abscess in the thoracic spine due to a rarely isolated pathogen, Streptobacillus moniliformis, the causative agent of rat bite fever. Besides diffuse abdominal pain, ataxia, paresthesia, hypesthesia, and enhanced reflexes of the lower extremities, the patient suffered from a decreased sensation of bladder filling. His history was also positive for a rat bite 6 weeks earlier. Read More

    Spinal epidural abscess caused by Brucella species: a review of 17 cases.
    J Neurosurg Sci 2017 Jun;61(3):271-276
    Department of Orthopedics, First Affiliated Hospital of Soochow University, Soochow, China.
    Background: Spinal epidural abscess (SEA) is a rarely encountered clinical entity during the course of Brucella infection.

    Methods: We reported 17 patients diagnosed with Brucellar SEA for a mean follow-up of 15 months. Spinal epidural abscess was detected by magnetic resonance imaging in all cases. Read More

    Melanized fungus as an Epidural abscess: A diagnostic and therapeutic challenge.
    Med Mycol Case Rep 2017 Jun 6;16:20-24. Epub 2017 Apr 6.
    Department of Microbiology, AIIMS Bhopal, Bhopal 462024, MP, India.
    Curvularia a dematiaceous fungus is ubiquitously found in soil around the world. We report an epidural abscess due to Curvularia lunata in a 48 years male farmer who underwent decompressive laminectomy as primary modality of treatment followed by isolation, identification and confirmation of the isolate from tissue by ITS sequencing. Antifungal therapy with voriconazole and amphotericin B for 3 and 2 weeks respectively improved patient's condition and is presently on regular follow up with no sequelae since last 7 months. Read More

    Destruction of the C2 Body due to Cervical Actinomycosis: Connection between Spinal Epidural Abscess and Retropharyngeal Abscess.
    Korean J Spine 2017 Mar 31;14(1):20-22. Epub 2017 Mar 31.
    Department of Neurosurgery, Chosun University College of Medicine, Gwangju, Korea.
    Human actinomycosis with involvement of the spine is a rare condition, with only a limited number of case reports published. To the best of our knowledge, no cases have been reported of epidural abscess causing destruction of the C2 body, bringing about a direct connection between spinal epidural and retropharyngeal abscesses. Here, we present such a case that occurred after acupuncture, and we review the relevant literature. Read More

    Gas-Containing Cervical Epidural Abscess Accompanying Bacterial Meningitis in an Adult.
    Korean J Spine 2017 Mar 31;14(1):17-19. Epub 2017 Mar 31.
    Department of Neurosurgery, Chosun University College of Medicine, Gwangju, Korea.
    Gas-containing spinal epidural abscesses are uncommon. Moreover, acute spinal epidural abscesses rarely complicate bacterial meningitis in adults. Here, we report a rare case of a gas-containing cervical epidural abscess accompanying bacterial meningitis. Read More

    Pott puffy tumor.
    Proc (Bayl Univ Med Cent) 2017 Apr;30(2):179-181
    Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, Connecticut (P. Sharma, S. Sharma, Kochar, Kumar); and the Department of Radiology, St. Vincent's Medical Center, Bridgeport, Connecticut (Gupta).
    Pott puffy tumor is osteomyelitis of the frontal bone with associated subperiosteal abscess causing swelling and edema over the forehead and scalp. It is a complication of frontal sinusitis or trauma. We present the case of an 8-year-old girl with frontal swelling. Read More

    Discography aids definitive diagnosis of posterior epidural migration of lumbar disc fragments: case report and literature review.
    BMC Musculoskelet Disord 2017 Apr 11;18(1):151. Epub 2017 Apr 11.
    Department of Orthopaedic Surgery, Keiyu Hospital, 3-7-3 Minatomirai, Nishi-ku, Yokohama, Kanagawa, 220-8521, Japan.
    Background: Posterior epidural migration of lumbar disc fragments (PEMLDF) is extremely rare. It is often confused with other posterior lesions and is usually diagnosed intraoperatively. We here describe the use of preoperative discography in the diagnosis of PEMLDF. Read More

    Staphylococcus aureus Central Nervous System Infections in Children.
    Pediatr Infect Dis J 2017 Apr 10. Epub 2017 Apr 10.
    Department of Pediatrics, Section of Infectious Diseases, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
    Background: Central nervous system (CNS) infections due to Staphylococcus aureus are uncommon in pediatric patients. We review the epidemiology, clinical features, and treatment in 68 patients with a S. aureus CNS infection evaluated at Texas Children's Hospital (TCH). Read More

    Paraspinal Edema Is the Most Sensitive Feature of Lumbar Spinal Epidural Abscess on Unenhanced MRI.
    AJR Am J Roentgenol 2017 Jul 5;209(1):176-181. Epub 2017 Apr 5.
    5 Department of Radiology, Emory University School of Medicine, 1364 Clifton Rd NE, Ste BG20, Atlanta, GA 30322.
    Objective: Spinal epidural abscess (SEA) is a serious infection requiring prompt treatment and potential neurosurgical intervention. Although contrast-enhanced spine MRI is the mainstay for diagnosis of SEA, unenhanced MRI is typically performed for patients with nonspecific symptoms or insufficient clinical information. We evaluated the sensitivity and specificity of imaging features suggestive of SEA at unenhanced spine MRI. Read More

    Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records.
    Am J Med 2017 Mar 31. Epub 2017 Mar 31.
    Houston Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Tex; Department of Medicine, Baylor College of Medicine, Houston, Tex. Electronic address:
    Purpose: With this study, we set out to identify missed opportunities in diagnosis of spinal epidural abscesses to outline areas for process improvement.

    Methods: Using a large national clinical data repository, we identified all patients with a new diagnosis of spinal epidural abscess in the Department of Veterans Affairs (VA) during 2013. Two physicians independently conducted retrospective chart reviews on 250 randomly selected patients and evaluated their records for red flags (eg, unexplained weight loss, neurological deficits, and fever) 90 days prior to diagnosis. Read More

    Frontal Sinus Breach During Routine Frontal Craniotomy Significantly Increases Risk of Surgical Site Infection: 10-Year Retrospective Analysis.
    Neurosurgery 2017 Mar 10. Epub 2017 Mar 10.
    Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan.
    Background: Frontotemporal craniotomies are commonly performed for a variety of neurosurgical pathologies. Infections related to craniotomies cause significant morbidity. We hypothesized that the risk of cranial surgical site infections (SSIs) may be increased in patients whose frontal sinuses are breached during craniotomy. Read More

    A Contemporary Medicolegal Analysis of Implanted Devices for Chronic Pain Management.
    Anesth Analg 2017 Apr;124(4):1304-1310
    From the *Department of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts; and †CRICO Strategies, Boston, Massachusetts.
    Background: Analysis of closed malpractice claims allows the study of rare but serious complications and likely results in improved patient safety by raising awareness of such complications. Clinical studies and closed claims analyses have previously reported on the common complications associated with intrathecal drug delivery systems (IDDS) and spinal cord stimulators (SCS). This study provides a contemporary analysis of claims from within the past 10 years. Read More

    Characteristics and predictors of outcome of spontaneous spinal epidural abscesses treated conservatively: A retrospective cohort study in a referral center.
    Clin Neurol Neurosurg 2017 May 27;156:11-17. Epub 2017 Feb 27.
    Department of Internal Medicine, Infectious Diseases Unit, University Hospital of Heraklion, Heraklion, Greece; Faculty of Medicine, University of Crete, Heraklion, Greece. Electronic address:
    Objective: Recent studies have shown that in carefully selected patients, conservative treatment alone can be an option in the management of spinal epidural abscess (SEA). The aim of this study was to identify prognostic factors of outcome in patients with spontaneous SEA treated conservatively.

    Patients And Methods: A retrospective cohort study of all patients with spontaneous SEA treated with antibiotics alone from January 2012 to December 2015 was conducted in a 1200-bed tertiary referral center. Read More

    Morbidity and Mortality after Pancreatoduodenectomy: A Five Year Experience in Bangabandhu Sheikh Mujib Medical University.
    Mymensingh Med J 2017 Jan;26(1):145-153
    Dr Bidhan C Das, Associate Professor, Division of Hepatobiliary-Pancreatic Surgery, Department of Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:
    Mortality and morbidity was assessed after adoption of a systematic care for patient with pancreatoduodenectomy starting from patient selection and preparation, operative technique, and postoperative care. In this prospective study seventy patients who underwent pancreatoduodenectomy for periampullary carcinoma with curative intent between January 2010 and December 2014 were carefully analyzed prospectively. Patients were selected those who had ampullary carcinoma, lower bile duct carcinoma and small size carcinoma head of pancreas without local invasion and distant metastasis, and the patient who did not have any major disabling comorbid diseases. Read More

    [Pyogenic Spinal Infections in Adults: A 5-Year Experience from a Tertiary Care Centre].
    Acta Chir Orthop Traumatol Cech 2017 ;84(1):40-45
    Klinika infekčních nemocí, 3. lékařská fakulta Univerzity Karlovy a Nemocnice Na Bulovce, Praha.
    PURPOSE OF THE STUDY To describe epidemiological and clinical features of pyogenic spinal infections in patients treated at the Department of Infectious, Parasitic and Tropical Diseases of the Hospital Na Bulovce in 2010-2014, and to analyse a predictive significance of selected variables. MATERIAL AND METHODS A single-centre retrospective cohort study carried out from 1.1. Read More

    The role of minimally invasive spine surgery in the management of pyogenic spinal discitis.
    J Craniovertebr Junction Spine 2017 Jan-Mar;8(1):39-43
    Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.
    Background: Diagnostic yields for spondylodiscitis from CT guided biopsy is low. In the recent years, minimally invasive surgery (MIS) has shown to have a low morbidity and faster recovery. For spinal infections, MIS surgery may offer an opportunity for early pain control while obtaining a higher diagnostic yield than CT-guided biopsies. Read More

    Diagnostic Yield of Multidetector Computed Tomography in Patients with Acute Spondylodiscitis.
    Rofo 2017 Apr 1;189(4):339-346. Epub 2017 Mar 1.
    Department of Diagnostic and Interventional Radiology and Nuclearmedicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
    Purpose To determine the value of multidetector computed tomography (MDCT) in patients with acute spondylodiscitis. Methods and Materials For data acquisition, we searched our radiological database for all patients who had undergone magnetic resonance imaging (MRI) for suspected spondylodiscitis between 2007 and 2015 (n = 325). For further analyses, we included all patients (n = 67) who initially underwent MDCT prior to MRI. Read More

    Primary acquired spondylodiscitis shows a more severe course than spondylodiscitis following spine surgery: a single-center retrospective study of 159 cases.
    Neurosurg Rev 2017 Feb 27. Epub 2017 Feb 27.
    Department of Neurosurgery, Medical University of Innsbruck, Anichstr. 35, 6020, Innsbruck, Austria.
    Spondylodiscitis may arise primarily via hematogenous spread or direct inoculation of virulent organisms during spine surgery. To date, no comparative data investigating the differences between primary and postoperative spondylodiscitis is available. Thus, the purpose of this retrospective study was to investigate differences between these two etiologies. Read More

    High cervical spine spondylodiscitis management and literature review.
    Rev Assoc Med Bras (1992) 2017 Jan;63(1):18-20
    Orthopedics and Traumatology Service, Hospital do Trabalhador, UFPR, Curitiba, PR, Brazil.
    Spondylodiscitis affecting the cervical spine is the most unusual type. Disease progression can be dramatic, even causing quadriplegia and death. We present an unusual case that progressed with osteolytic lesions between C2 and C3, causing cord compression and epidural abscess. Read More

    Fungal Contamination of Methylprednisolone Causing Recurrent Lumbosacral Intradural Abscess.
    Emerg Infect Dis 2017 Mar;23(3):552-553
    Fungal meningitis transmitted through injections of methylprednisolone contaminated with Exserohilum rostratum affected 753 persons and caused 61 deaths in the United States in 2012. We report a case of infection recurrence after 24-months with the unique manifestation of an intradural fungal abscess. Fungal disease should remain on the differential diagnosis list for previously exposed patients. Read More

    Diagnosis and management of spinal cord emergencies.
    Handb Clin Neurol 2017 ;140:319-335
    Department of Neurology, Mayo Clinic, Rochester, MN, USA; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA. Electronic address:
    Most spinal cord injury is seen with trauma. Nontraumatic spinal cord emergencies are discussed in this chapter. These myelopathies are rare but potentially devastating neurologic disorders. Read More

    Evaluating Complications of Chronic Sinusitis.
    Case Rep Emerg Med 2017 9;2017:8743828. Epub 2017 Jan 9.
    Department of Emergency Medicine, New York Methodist Hospital, Brooklyn, NY, USA.
    Chronic sinusitis is a relatively common diagnosis throughout the US. In patients with an otherwise unremarkable medical history the treatment is typically supportive, requiring only clinical evaluation. We present the case of a 25-year-old male with a history of chronic sinusitis that was brought to our emergency department with new-onset seizure. Read More

    Lateral lumbar retroperitoneal transpsoas approach in the setting of spondylodiscitis: A technical note.
    J Clin Neurosci 2017 May 31;39:193-198. Epub 2017 Jan 31.
    Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, United States. Electronic address:
    Thoracolumbar spondylodiscitis is a morbid disease entity, impacting a sick patient population with multiple comorbidities. Wherever possible, surgical measures in this population should limit the extent of soft tissue disruption and overall morbidity that is often associated with anteroposterior thoracolumbar decompression and fusion. The authors describe the rationale, technique, and use of the lateral lumbar transpsoas retroperitoneal approach in tandem with posterior decompression and instrumented fusion in the treatment of circumferential thoracolumbar spondylodiscitis with or without epidural abscesses. Read More

    Neuraxial Anesthesia and the Use of Sterile Gowning.
    AORN J 2017 Feb;105(2):184-192
    Epidural or spinal anesthesia-related infections cause serious and devastating morbidity and mortality. The possible infectious complications of neuraxial anesthesia have become better understood in the past 10 years. We assessed information from published case series, studies, randomized controlled trials, and retrospective cohort studies to determine the rate of neuraxial infection and to evaluate iatrogenic causes of infection. Read More

    Prognostic Factors for Failure of Antibiotic Treatment in Patients With Osteomyelitis of the Spine.
    Spine (Phila Pa 1976) 2017 Jan 27. Epub 2017 Jan 27.
    *Department of Orthopaedic Surgery, Spine Surgery Service, Massachusetts General Hospital - Harvard Medical School †Department of Orthopaedic Surgery, Orthopaedic Oncology Service, Massachusetts General Hospital - Harvard Medical School ‡Department of Infectious Diseases, Massachusetts General Hospital - Harvard Medical School §Department of Orthopaedic Surgery, Orthopaedic Oncology Service, Spine Surgery Service, Massachusetts General Hospital - Harvard Medical School.
    Study Design: Retrospective cohort study.

    Objective: Identify factors independently associated with antibiotic treatment failure in patients with spinal osteomyelitis.

    Summary Of Background Data: There are few studies that have identified risk factors for antibiotic treatment failure in medically-managed spinal osteomyelitis. Read More

    Primary spinal epidural B-lymphoblastic lymphoma.
    Proc (Bayl Univ Med Cent) 2017 Jan;30(1):66-68
    Department of Medical Oncology, Regional Cancer Centre, Trivandrum, India.
    Extranodal lymphomas constitute 20% to 30% of all non-Hodgkin's lymphomas. The common sites involved are skin, stomach, brain, and small intestine. Epidural localization is a rare site for lymphomas, accounting for 10% of spinal epidural tumors. Read More

    A Rare Case of Disseminated Pyogenic Gonococcal Infection in an Immunocompetent Woman.
    Case Rep Infect Dis 2016 27;2016:9629761. Epub 2016 Dec 27.
    Infectious Diseases Unit, 3rd Department of Pediatrics, Faculty of Medicine, Aristotle University School of Health Sciences, Hippokration General Hospital, Thessaloniki, Greece.
    We present a case of previously healthy, immunocompetent, 41-year-old woman who developed systemic inflammatory response syndrome secondary to Neisseria gonorrhoeae bacteremia. Clinical course was complicated by the simultaneous formation of multiple muscular abscesses, epidural abscess, and septic spondylodiscitis. The patient responded well to prolonged ceftriaxone treatment and was released 10 weeks after initial admission. Read More

    Serratus anterior plane block for hybrid transthoracic esophagectomy: a pilot study.
    J Pain Res 2017 4;10:73-77. Epub 2017 Jan 4.
    Department of General Surgery, IRCCS Policlinico San Donato, University of Milan Medical School, Milano, Italy.
    Background: Pain is a major limiting factor in patient's recovery from major thoracic surgical procedures. Thoracic epidural analgesia (TEA), the current gold standard of perioperative management, has contraindications, can technically fail, and carries a risk of complications such as epidural abscess and spinal hematoma. The ultrasound-guided serratus anterior plane (SAP) block is a promising regional analgesia technique. Read More

    Percutaneous epidural drainage through a burr hole.
    Indian J Radiol Imaging 2016 Oct-Dec;26(4):469-471
    Department of Interventional Radiology, Hospital Israelita Albert Einstein, São Paulo, Brazil.
    Intracranial extradural collection may cause an increase in intracranial pressure, requiring rapid emergency treatment to reduce morbidity and mortality. We described an alternative CT-guided percutaneous access for extradural collection drainage. We report a case of a patient with previous craniectomy for meningioma ressection who presented to the Emergency Department with symptoms of intracranial hypertension. Read More

    Magnetic resonance imaging findings of patients with suspected tuberculosis from a tertiary care centre in Sri Lanka
    Ceylon Med J 2016 12;61(4):185-188
    Magnetic Resonance Imaging, Neurosurgical Unit, National Hospital of Sri Lanka, Sri Lanka.
    Introduction: Spinal tuberculosis (TB) is a relatively common cause for spinal pathology in Sri Lanka and a common indication for magnetic resonance imaging (MRI).

    Objectives: The objective of the study was to describe the MRI imaging pattern of spinal TB in a series of patients.

    Methods: One hundred and nine patients with clinically confirmed spinal tuberculosis who had undergone MRI scans at the National Hospital of Sri Lanka from 2012-2016 were included in the study. Read More

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