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    1 OF 55

    Staphylococcus-Associated Glomerulonephritis Mimicking Henoch-Schönlein Purpura and Cryoglobulinemic Vasculitis in a Patient With an Epidural Abscess: A Case Report and Brief Review of the Literature.
    Can J Kidney Health Dis 2018 31;5:2054358118776325. Epub 2018 May 31.
    Division of Nephrology, Institute of Health Policy, Management and Evaluation, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
    Rationale: Staphylococcus-associated glomerulonephritis (SAGN) is a rare immune complex-mediated glomerulonephritis associated with active infection. We report a case illustrating the importance of clinical history and kidney biopsy findings in establishing the correct diagnosis.

    Presenting Concerns Of The Patient: We report the case of a 64-year-old man with alcohol-associated cirrhosis, type 2 diabetes mellitus, and hypertension who presented to hospital with lower back and abdominal pain, rectal bleeding, a purpuric lower extremity rash, and oliguric acute kidney injury with microscopic hematuria and nephrotic-range proteinuria. Read More

    Septic arthritis of the temporomandibular joint leading to an epidural abscess.
    BMJ Case Rep 2018 Jun 11;2018. Epub 2018 Jun 11.
    Oral and Maxillofacial Surgery, University Hospital Salzburg, Salzburg, Austria.
    Septic arthritis of the temporomandibular joint (TMJ) is rare, but patients with this diagnosis are at high risk for significant morbidity. We present a case of a 15-year-old man who presented with increasing trismus for 3 days. He had only minimal discomfort and swelling of the right cheek and temporal region, and pericoronitis of an impacted wisdom tooth was suspected. Read More

    Extensive spinal adhesive arachnoiditis after extradural spinal infection - spinal dura mater is no barrier to inflammation.
    World Neurosurg 2018 Jun 5. Epub 2018 Jun 5.
    Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
    Background: Spinal adhesive arachnoiditis (SAA) is an inflammatory process of the meninges. Cystic changes and cicatrisation may lead to neurological deficits and immobilization. Therapy is difficult and often unsatisfactory. Read More

    Successfully Conservative Management of Delayed Cervical Spondylodiscitis with Epidural Abscess Caused by Esophageal Diverticulitis: A Case Report and Review of Literature.
    World Neurosurg 2018 Jun 5. Epub 2018 Jun 5.
    Department of Orthopedic Surgery, Navy General Hospital, Beijing, China. Electronic address:
    Background: Cervical spondylodiscitis with spinal epidural abscess (SEA) is not a rare medical condition that usually requires urgent decompression of neural structures and stabilization of the spine followed by antibiotic therapy for prevention from severe neurological deficits.

    Case Description: In this report, we present a 43-year-old male patient with the chief complaint of neck pain and intermittent fever accompanying by slight dysphagia. After two weeks, he felt mild and transient numbness on the left upper limb. Read More

    Intracranial complications of acute sinusitis in children: The role of endoscopic sinus surgery.
    Int J Pediatr Otorhinolaryngol 2018 Jul 11;110:147-151. Epub 2018 May 11.
    University of Texas Southwestern Medical Center Department of Otolaryngology, United States; Children's Medical Center Dallas, United States.
    Objective: To study the role of endoscopic sinus surgery (ESS) in the management of intracranial complications of children with acute rhinosinusitis METHODS: Retrospective chart review at a tertiary care pediatric hospital MAIN OUTCOMES: Demographics, intracranial complications, length of hospital stay (LOS), neurological sequelae, ESS, neurosurgical procedures RESULTS: Twenty-four children with a mean age (SD) of 12.9 years (+/-3.2) with an intracranial complication(s) of acute rhinosinusitis were identified between 2005-2016. Read More

    Bartonella henselae infection presenting as cervical spine osteomyelitis: case report.
    J Neurosurg Pediatr 2018 May 25:1-6. Epub 2018 May 25.
    Departments of 1 Neurological Surgery and.
    Bartonella henselae is a gram-negative bacillus implicated in cat-scratch disease. Cat-scratch disease is usually self-limiting and results in local lymphadenopathy. In rare circumstances, patients may develop endocarditis, neuroretinitis, or osteomyelitis. Read More

    The Prognostic Accuracy of Suggested Predictors of Failure of Medical Management in Patients With Nontuberculous Spinal Epidural Abscess.
    Global Spine J 2018 May 20;8(3):279-285. Epub 2017 Jul 20.
    University of Calgary, Calgary, Alberta, Canada.
    Study Design: Retrospective cohort study.

    Objectives: To test the external validity of the 2 published prediction criteria for failure of medical management in patients with spinal epidural abscess (SEA).

    Methods: Patients with SEA over a 10-year period at a tertiary care center were identified using ICD-10 (International Classification of Diseases, 10th Revision) diagnostic codes; electronic and paper charts were reviewed. Read More

    Improper Use of Thrombolytic Agents in Acute Hemiparesis Following Misdiagnosis of Acute Ischemic Stroke.
    Korean J Neurotrauma 2018 Apr 30;14(1):20-23. Epub 2018 Apr 30.
    Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea.
    Objective: Acute hemiparesis is often an early presentation of acute ischemic stroke, though it can occur in various disorders. This study aimed to investigate the improper use of thrombolytic agents for patients with acute hemiparesis, following the misdiagnosis of acute ischemic stroke.

    Methods: We analyzed the clinical and radiological data of nine patients initially misdiagnosed with cerebral stroke in the emergency room from May 2013 to January 2017. Read More

    Spinal Epidural Abscess in an Infant Presenting as Fever and Respiratory Distress.
    Pediatr Emerg Care 2018 May 2. Epub 2018 May 2.
    From the Division of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA.
    A 9-month-old healthy female presented during winter to the emergency department with a chief complaint of fever and prominent respiratory symptoms. She was discharged on oseltamivir with a presumptive diagnosis of influenza. She returned to the emergency department 2 days later with continued fever and more upper respiratory symptoms. Read More

    Anterior cervical approach for the treatment of axial or high thoracic levels.
    Br J Neurosurg 2018 May 10:1-5. Epub 2018 May 10.
    a Spine Surgery Unit, Department of Neurosurgery , Sheba Medical Center , Ramat-Gan , Israel.
    Purpose: Application of the anterior sub-axial cervical approach to the axial spine or the high thoracic spine has been previously described. Evaluation methods to determine the feasibility of these approaches were also described but alternative method was utilized in the current study. We describe our experience expanding the boundaries of anterior cervical approach utilizing a novel algorithm for approach selection. Read More

    Major risks and complications of cervical epidural steroid injections: An updated review.
    Surg Neurol Int 2018 23;9:86. Epub 2018 Apr 23.
    Professor of Clinical Neurosurgery, School of Medicine, State University of N.Y. at Stony Brook, New York, USA.
    Background: Too many patients, with or without significant cervical disease, unnecessarily undergo cervical epidural steroid injections (CESIs). These include interlaminar (ICESI) and transforaminal ESI (TF-CESI) injections that are not Food and Drug Administration (FDA) approved, have no documented long-term efficacy, and carry severe risks and complications.

    Methods: Here we reviewed recent reports of morbidity and mortality attributed to the various types of CESIS. Read More

    Abscess due to textiloma (gossypiboma: Retained surgical cottonoid).
    Surg Neurol Int 2018 5;9:70. Epub 2018 Apr 5.
    Department of Histopathology, Avicenne Military Hospital of Marrakech, Mohammed V University in Rabat, Rabat, Morocco.
    Background: Surgical site infections following spinal surgery, including spinal abscesses, are rare but serious as they are major causes of morbidity, and even mortality. They are, however, rarely attributed to infected, retained surgical cottonoids or sponges (textiloma or gossypiboma) inadvertently left in an operative field.

    Case Description: A 53-year-old female with a history of two prior spinal operations at the L4-S1 levels (11 and 2 years previously) presented over a few weeks with the acute onset of a cauda equina syndrome (e. Read More

    Not quite Pott's puffy tumour.
    BMJ Case Rep 2018 Apr 25;2018. Epub 2018 Apr 25.
    Department of Otolaryngology, Ninewells Hospital and Medical School, NHS Tayside, Dundee, Scotland, UK.
    Pott's puffy tumour (PPT) is characterised by a subperiosteal abscess associated with osteomyelitis of the frontal bone-a rare complication of frontal sinusitis, more common in the paediatric population. We describe a case mimicking PPT, where abscess extension was facilitated by previous surgery. Usually patients with PPT would be systemically unwell, but our patient, a 63-year-old Caucasian man, was systemically well with a large swelling of his forehead. Read More

    First case of cervical epidural abscess caused by brucellosis in Saudi Arabia: A case report and literature review.
    IDCases 2018 11;12:107-111. Epub 2018 Apr 11.
    Department of adult infectious diseases, Sheikh Khalifa Medical City, P.O. Box 51900, Abu Dhabi, United Arab Emirates.
    Spinal epidural abscess (SEA) is an extremely rare and disastrous musculoskeletal complication of spondylodiscitis and sacroilitis secondary to brucellosis infection. Few case reports and retrospective studies have been published reporting patients with epidural abscesses mainly lumbar, and thoracic while cervical abscess are rare. Management of spinal epidural abscess due to species is not standard and remains controversial. Read More

    Pneumorrhachis following Chest Injury: A Rare Entity.
    Asian J Neurosurg 2018 Apr-Jun;13(2):440-441
    Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Dr. RML Hospital, New Delhi, India.
    Pneumorrhachis (PR) - the phenomenon of intraspinal air - is a rare radiological finding. The presence of intraspinal air is usually after epidural injections, spinal manipulations, synovial cysts, degenerative disc disease, and epidural abscess. PR is mostly asymptomatic but can also be symptomatic. Read More

    Pyogenic Spondylitis Caused by Methicillin-Resistant Associated with Tracheostomy followed by Resection of Ossification of the Anterior Longitudinal Ligament.
    Case Rep Orthop 2018 18;2018:9076509. Epub 2018 Feb 18.
    Department of Orthopedic Surgery, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
    Symptomatic ossification of the anterior longitudinal ligament (OALL) is rare. However, when the osteophyte enlarges and obstructive symptoms occur, the patient may require surgery. We present a case of pyogenic spondylitis caused by methicillin-resistant associated with tracheostomy followed by resection of OALL. Read More

    Rogue one: a story of tophaceous gout in the spine.
    BMJ Case Rep 2018 Apr 17;2018. Epub 2018 Apr 17.
    Department of Anesthesia and Critical Care, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
    A 26-year-old man with history of extensive tophaceous gout presented to the referring facility with decreased bilateral lower extremity sensation and motor function that began acutely 1 week prior to admission and had progressed to urinary incontinence. The patient was admitted to the intensive care unit due to concern for sepsis secondary to epidural abscess. The patient was started on empiric vancomycin and cefepime. Read More

    Spondylodiscitis following endovascular abdominal aortic aneurysm repair: imaging perspectives from a single centre's experience.
    Skeletal Radiol 2018 Apr 14. Epub 2018 Apr 14.
    Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, 2nd Floor Tower Wing, Great Maze Pond, London, SE1 9RT, UK.
    Objective: Very few reports have previously described spondylodiscitis as a potential complication of endovascular aortic aneurysm repair (EVAR). We present to our knowledge the first case series of spondylodiscitis following EVAR based on our institution's experience over an 11-year period. Particular attention is paid to the key imaging features and challenges encountered when performing spinal imaging in this complex patient group. Read More

    Independent predictors of spinal epidural abscess recurrence.
    Spine J 2018 Apr 9. Epub 2018 Apr 9.
    Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA. Electronic address:
    Background Context: Recurrence of spinal epidural abscess (SEA) after treatment is an important cause of continued morbidity for patients.

    Purpose: The purpose of this study is to identify independent predictors of recurrence of SEA.

    Study Design/setting: This was a retrospective, case-control study. Read More

    Lumbar Gout Tophus Mimicking Epidural Abscess with Magnetic Resonance Imaging, Bone, and Gallium Scans.
    Indian J Nucl Med 2018 Apr-Jun;33(2):158-160
    Department of Nuclear Medicine, University Hospital Infanta Cristina, Badajoz, Spain.
    Gout is a common metabolic disorder, typically diagnosed in peripheral joints. Tophaceous deposits in lumbar spine are a very rare condition with very few cases reported in literature. The following is a case report of a 52-year-old patient with low back pain, left leg pain, and numbness. Read More

    Bone and joint infection.
    Clin Med (Lond) 2018 Mar;18(2):150-154
    Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
    Bone and joint infections include septic arthritis, prosthetic joint infections, osteomyelitis, spinal infections (discitis, vertebral osteomyelitis and epidural abscess) and diabetic foot osteomyelitis. All of these may present through the acute medical take. This article discusses the pathogenesis of infection and highlights the importance of taking a careful history and fully examining the patient. Read More

    Nonoperative Management of Spinal Epidural Abscess: Development of a Predictive Algorithm for Failure.
    J Bone Joint Surg Am 2018 Apr;100(7):546-555
    Department of Orthopaedic Surgery (A.A.S., P.T.O., M.B.H., and J.H.S.) and Division of Infectious Diseases (S.B.N.), Massachusetts General Hospital, Boston, Massachusetts.
    Background: Prompt diagnosis and treatment are critical in spinal epidural abscess, as delay can lead to paralysis or death. The initial management decision for spinal epidural abscess is not always clear, with the literature showing conflicting results. When considering nonoperative management, it is crucial to avoid failure of treatment, given the neurologic compromise incurred through failure. Read More

    Postoperative Infection in Patients Undergoing Posterior Lumbosacral Spinal Surgery: A Pictorial Guide for Diagnosis and Early Treatment.
    Clin Spine Surg 2018 Mar 27. Epub 2018 Mar 27.
    Department of Medical Imaging and Intervention, Chang-Gung Memorial Hospital at Linkou and Chang-Gung University, Taoyuan, Taiwan.
    Surgical site infections after posterior spinal surgery may lead to spondylodiscitis, pseudarthrosis, correction loss, adverse neurological sequelae, sepsis, and poor outcomes if not treated immediately. Infection rates vary depending on the type and extent of operative procedures, use of instrumentation, and patients' risk factors. Image evaluation is crucial for early diagnosis and should be complementary to clinical routes, laboratory survey, and treatment timing. Read More

    Acute prevertebral abscess secondary to intradiscal oxygen-ozone chemonucleolysis for treatment of a cervical disc herniation.
    J Int Med Res 2018 Jan 1:300060518764186. Epub 2018 Jan 1.
    1 Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, China.
    Objective We herein present a case involving a prevertebral abscess complicated by a spinal epidural abscess (SEA) secondary to intradiscal oxygen-ozone chemonucleolysis for treatment of a cervical disc herniation. Methods A 67-year-old woman with a history of intradiscal oxygen-ozone chemonucleolysis developed numbness and weakness in her right upper and bilateral lower extremities followed by urinary retention. Her symptoms did not respond to intravenous antibiotics alone. Read More

    Recurrent discitis in the acute rehab setting: a case report.
    Spinal Cord Ser Cases 2018 21;4:23. Epub 2018 Mar 21.
    1Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, USA.
    Introduction: Discitis is an infection of the intervertebral disc space that can lead to paralysis, sepsis, epidural abscess, or other life-threatening complications if left untreated and may sometimes present with limited laboratory abnormalities to clue a diagnosis.

    Case Presentation: We present a case of a 67-year-old female in an acute rehabilitation setting who had presenting symptoms of sudden unexplained back pain refractory to pain control. She had a previous history of discitis and multiple failed knee replacement surgeries secondary to MSSA infections. Read More

    Haematoma and abscess after neuraxial anaesthesia: a review of 647 cases.
    Br J Anaesth 2018 Apr 15;120(4):693-704. Epub 2018 Feb 15.
    Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
    Although rare, spinal haematoma and abscess after central neuraxial blocks may cause severe permanent neurological injury. Optimal treatment and outcome remain unclear. In order to identify possible predisposing patient characteristics and describe the ensuing clinical course, we searched Medline, Embase, and the Cochrane Library for reports of spinal haematomas and abscesses associated with central neuraxial blocks. Read More

    Epidural analgesia is infrequently used in patients with acute pancreatitis : a retrospective cohort study.
    Acta Gastroenterol Belg 2017 Jul-Sep;80(3):381-384
    Department of Anesthesiology and Critical Care Medicine, Jichi Medical University, Saitama Medical Center, Saitama, 330-0834, Japan.
    Backgrounds And Aims: Epidural analgesia is an option for pain control in patients with acute pancreatitis. The aim of this study is to describe characteristics, morbidity and mortality of patients with acute pancreatitis treated with epidural analgesia.

    Patients And Methods: Data was extracted from a national inpatient database in Japan on patients hospitalized with acute pancreatitis between July 2010 and March 2013. Read More

    A Predictive Model Facilitates Early Recognition of Spinal Epidural Abscess in Adults.
    West J Emerg Med 2018 Mar 12;19(2):276-281. Epub 2018 Feb 12.
    University of Massachusetts Medical School-Baystate, Springfield, Massachusetts.
    Introduction: Spinal epidural abscess (SEA), a highly morbid and potentially lethal deep tissue infection of the central nervous system has more than tripled in incidence over the past decade. Early recognition at the point of initial clinical presentation may prevent irreversible neurologic injury or other serious, adverse outcomes. To facilitate early recognition of SEA, we developed a predictive scoring model. Read More

    The Role of the Visor Flap in Scalp Reconstruction: A Case Series of 21 Patients.
    Oper Neurosurg (Hagerstown) 2018 Mar 14. Epub 2018 Mar 14.
    University of Illinois at Chicago, Chicago, Illinois.
    Background: Full-thickness scalp defects pose a reconstructive problem, especially in the setting of infection, chemotherapy/radiation, and underlying cranial defects. Current options include dermal matrices, skin grafts, and local flaps. Local flaps often fail, requiring subsequent microvascular free flap reconstruction. Read More

    Causes of pneumocephalus and when to be concerned about it.
    Emerg Radiol 2018 Mar 15. Epub 2018 Mar 15.
    Department of Radiology, Division of Emergency Radiology, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210 Street, Bronx, NY, 10467, USA.
    Intracranial gas is commonly detected on neuroimaging. The recognition of this finding can at first blush be unsettling. Being able to localize this gas to a specific compartment: intraarterial, intravenous, intraparenchymal, subdural, epidural, subarachnoid and intraventricular, is the first step in determining the importance of the gas. Read More

    Simultaneous treatment of intracranial complications of paranasal sinusitis.
    Eur Arch Otorhinolaryngol 2018 May 13;275(5):1165-1173. Epub 2018 Mar 13.
    Department of Otolaryngology and Laryngological Oncology, University of Medical Sciences, Przybyszewskiego Street 49, 60-355, Poznań, Poland.
    Purpose: The objective of this study was to analyse 51 patients with intracranial complications of sinusitis treated in the Department of Otolaryngology and Laryngeal Oncology at Poznań University of Medical Sciences from 1964 to 2016.

    Materials And Methods: Males made up a significant portion of study participants at 70.5%. Read More

    Lumbar spine epidural abscess and facet joint septic arthritis due to Streptococcus agalactiae: a case report.
    BMC Surg 2018 Mar 13;18(1):16. Epub 2018 Mar 13.
    Department of Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.
    Background: Here we report a rare case of lumbar spine epidural abscess and facet joint septic arthritis caused by Streptococcus agalactiae, which had spread to the iliopsoas muscles, leading to urine retention.

    Case Presentation: A 68-year-old woman with low back pain experienced a sudden onset of bilateral lower limb weakness, it was followed 14 days later by urine retention. At consultation, magnetic resonance imaging and identification of serum β-hemolytic streptococci provided a diagnosis of Streptococcus agalactiae infection. Read More

    Aspergillus spinal epidural abscess: case presentation and review of the literature.
    Spinal Cord Ser Cases 2018 7;4:19. Epub 2018 Mar 7.
    1Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA USA.
    Study Design: In this review, we present a case of spinal epidural abscess (ASEA) and review the literature.

    Objectives: To provide further insight on a rare condition.

    Setting: A description of a patient with ASEA in a 58-year-old woman that was successfully treated with conservative management is presented. Read More

    Tuberculous lumbar spinal epidural abscess in a young adult (case report).
    SICOT J 2018 9;4. Epub 2018 Mar 9.
    Medical City Complex, Baghdad, Iraq.
    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. Read More

    Epidural Abscess During a Spinal Cord Stimulator Trial: A Case Report.
    Pain Pract 2018 Mar 8. Epub 2018 Mar 8.
    Department of Anesthesiology and Pain Medicine, University of Kansas Medical Center, Kansas City, Kansas, U.S.A.
    Background: Spinal cord stimulation (SCS) can be beneficial for low back and radicular pain. A short trial of SCS evaluates the potential effectiveness of this therapy for a specific patient, while also decreasing the likelihood of a failed permanent implant. While rare, an epidural abscess is difficult to diagnose based on its nonspecific and unreliable clinical presentation. Read More

    Clinical outcomes of percutaneous suction aspiration and drainage for the treatment of infective spondylodiscitis with paravertebral or epidural abscess.
    Spine J 2018 Feb 26. Epub 2018 Feb 26.
    Department of Orthopedic Surgery, Kurume University Hospital, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan.
    Background Context: Patients with infective spondylodiscitis who failed conservative treatment are generally indicated for open surgery. However, some patients are poor candidates for standard surgery, hence the need to evaluate less invasive approaches. Good outcomes were previously reported for percutaneous suction aspiration and drainage (PSAD) in the treatment of infective spondylodiscitis resistant to conservative therapy. Read More

    Postoperative epidural abscess after spinal anaesthesia for a circumcision necessitated by phimosis.
    BMJ Case Rep 2018 Feb 23;2018. Epub 2018 Feb 23.
    Department of Surgery, Franciscus Vlietland, Schiedam.
    A 70-year-old man was admitted to our hospital for a penile circumcision due to phimosis using continuous dose spinal anaesthesia. On postoperative day 10 he came to the emergency department with a superficial abscess localised at the injection site of the spinal catheter. He was treated with intravenous antibiotics for 10 days, and the superficial abscess was incised and drained. Read More

    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

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