2,996 results match your criteria Epidural Abscess


Patient satisfaction with continuous epidural analgesia after major surgical procedures at a Swedish University hospital.

PLoS One 2020 2;15(7):e0235636. Epub 2020 Jul 2.

Department of Surgical Sciences, Unit for Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.

Objective: The use of epidural analgesia after major surgery is a well-established analgesia method. Epidural analgesia for postoperative pain relief needs to be monitored regularly in order to evaluate patient satisfaction and avoid side effects. However, due to the new available regional techniques, the role of epidural analgesia is being questioned and data about patient satisfaction is lacking. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235636PLOS

Spinal holocord epidural abscess evacuated with double thoracic interval laminectomy: a rare case report with literature review.

Spinal Cord Ser Cases 2019 Jul 2;5(1):62. Epub 2019 Jul 2.

Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, 249203, Uttarakhand, India.

Introduction: Holocord spinal cord epidural abscess is an uncommon condition that may result in serious neurological complications. Prompt diagnosis and early treatment is of paramount importance for an optimum clinical outcome. This case report describes a novel technique of interval laminectomy at two sites in the thoracic spine and surgical decompression with the help of infant feeding tubes in a case of holocord spinal epidural abscess (HSEA). Read More

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http://dx.doi.org/10.1038/s41394-019-0206-8DOI Listing

Spinal epidural abscess caused by non-typhoidal Salmonella: A case report and literature review.

J Infect Chemother 2020 Jun 23. Epub 2020 Jun 23.

Department of Pathogen, Infection and Immunity, Nara Medical University, Shijo-cho, Kashihara, Nara, Japan.

Non-typhoidal Salmonellae are Gram negative bacilli commonly causing self-limiting gastroenteritis, representing a public health issue particularly in tropical countries. Further, the epidemiology of invasive infection by non-typhoidal Salmonella species is poorly understood. Herein, we presented a case of an unusual Salmonella enterica subsp. Read More

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http://dx.doi.org/10.1016/j.jiac.2020.05.016DOI Listing

Spondylodiscitis and spinal epidural abscess related to long-term placement of an airway stent for malignant central airway obstruction.

Thorac Cancer 2020 Jun 24. Epub 2020 Jun 24.

Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan.

A 70-year-old male was referred to our hospital with lower limb muscle weakness and numbness of the left hand. The patient had previously been diagnosed seven years ago with lung cancer accompanied by central airway obstruction and had received chemoradiotherapy following placement of a metallic stent. Computed tomography (CT) scan revealed an osteolytic lesion which was adjacent to the fractured stent. Read More

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http://dx.doi.org/10.1111/1759-7714.13530DOI Listing

Pyogenic discitis with an epidural abscess after cervical analgesic discography: A case report.

World J Clin Cases 2020 Jun;8(11):2318-2324

Department of Spinal Surgery, the Third Medical Center, PLA General Hospital, Beijing 100039, China.

Background: Chronic neck pain is a common clinical problem. It has long been considered that degenerative cervical disc is an important source of chronic neck pain. In the clinic, cervical discography is thought to be a useful and safe method to distinguish aging discs from pathological discs, and the probability of complications caused by it is really rare. Read More

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http://dx.doi.org/10.12998/wjcc.v8.i11.2318DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7281055PMC

Spinal segmental myoclonus following spinal surgery.

Br J Neurosurg 2020 Jun 12:1-3. Epub 2020 Jun 12.

Radiology, Changi General Hospital, Singapore, Singapore.

A 44-year-old male was admitted with L5/S1 spondylodiscitis complicated by a posterior epidural abscess that was compressing the thecal sac with severe narrowing of the canal and compression of the cauda equine. He underwent computed tomography (CT) guided drainage followed by L5/S1 decompression laminectomy and was started on a 6-week course of intravenous antibiotics with good response. He remained well and afebrile with inflammatory markers showing improvement. Read More

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http://dx.doi.org/10.1080/02688697.2020.1777262DOI Listing

Minimally Invasive Surgery Oblique Lumbar Interbody Debridement and Fusion for the Treatment of Lumbar Spondylodiscitis.

Orthop Surg 2020 Jun 10. Epub 2020 Jun 10.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Objective: To evaluate the efficacy and feasibility of minimally invasive oblique lumbar interbody debridement and fusion for the treatment of conservatively ineffective lumbar spondylodiscitis.

Methods: This is a retrospective study. Between December 2016 and November 2017, a total of 14 consecutive patients (eight males and six females, with an average age of 49. Read More

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http://dx.doi.org/10.1111/os.12711DOI Listing

REDUCTION IN SUBCUTANEOUS INSULIN REQUIREMENTS IN TETRAPLEGIC TYPE 1 DIABETIC WITH CERVICAL SPINAL CORD INJURY FOLLOWING PRAMLINTIDE TREATMENT.

AACE Clin Case Rep 2020 May-Jun;6(3):e132-e134. Epub 2020 May 11.

Objective: To report a massive increase in subcutaneous insulin requirements following spinal cord injury in a type 1 diabetic and how it was managed over a 22-month period with pramlintide.

Methods: A case report and brief literature review is presented.

Results: The patient is a 43-year-old male who was diagnosed with type 1 diabetes mellitus at age 18. Read More

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http://dx.doi.org/10.4158/ACCR-2019-0461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7282281PMC

Acute mastoiditis in infants younger than 6 months: is an alternative treatment protocol needed?

Eur Arch Otorhinolaryngol 2020 Jun 4. Epub 2020 Jun 4.

Department of Otorhinolaryngology and Head and Neck Surgery, Schneider Children's Medical Center of Israel and Rabin Medical Center, Beilinson Campus, 49202, Petah Tikva, Israel.

Objectives: Several studies have reported that younger children suffer from increased incidence and more severe episodes of acute mastoiditis (AM) than older children, whereas other researchers have found the opposite. The aim of our study was to describe the occurrence, clinical, and microbiological aspects of AM in children 6 months or younger, and compare them with the results in an older reference age band.

Methods: The medical files of children hospitalized with a diagnosis of AM during 2001-2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1007/s00405-020-06088-3DOI Listing

Spinal epidural abscess due to infection.

IDCases 2020 11;21:e00801. Epub 2020 May 11.

Department of Hospital Medicine, Marshfield Clinic Health System - Marshfield, Marshfield, WI, 54444, United States.

() is a gram-negative coccobacillus that comprises the normal oral, upper respiratory, and gastrointestinal flora of many wild and domestic animals. Disease transmission primarily occurs via animal bites, scratches, and licks on broken skin. most commonly causes skin and soft tissue infection and local abscess formation; however, we report a unique case of spinal epidural abscess due to infection in a patient with a history of recent epidural steroid injection and repeated cat bites. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00801DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242861PMC

A Rare Case of Lemierre's Syndrome Caused by Streptococcus Intermedius, Presenting as an Epidural Abscess.

Cureus 2020 Apr 22;12(4):e7787. Epub 2020 Apr 22.

Infectious Disease, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

Lemierre's syndrome is a rare but life-threatening condition characterized by an oropharyngeal infection typically secondary to Fusobacterium necrophorum resulting in septic thrombophlebitis of the internal jugular vein. Streptococcus intermedius is a particularly rare cause of Lemierre's syndrome with only a few cases reported in the literature. Here we describe a rare case of Lemierre's syndrome, caused by Streptococcus intermedius, likely secondary to an odontogenic infection, found to have a cervical epidural abscess with concomitant large retropharyngeal and prevertebral abscesses on presentation, in whom the clinical course was further complicated by an extensive cerebral venous sinus thrombosis. Read More

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http://dx.doi.org/10.7759/cureus.7787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243612PMC

Vertebral osteomyelitis: Clinical, microbiological and radiological characteristics of 116 patients.

Med Clin (Barc) 2020 May 20. Epub 2020 May 20.

Rheumatology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.

Introduction/objectives: To describe the clinical, radiological and microbiological characteristics of vertebral osteomyelitis patients, analysing the factors that played a role on their outcome.

Patients And Methods: Single-centre retrospective observational study including patients diagnosed with vertebral osteomyelitis, based on the combination of clinical presentation with either a definitive bacteriological diagnosis and/or imaging studies.

Results: 116 adult patients were included with a mean age of 62. Read More

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http://dx.doi.org/10.1016/j.medcli.2019.12.029DOI Listing

Delayed diagnosis of an upper cervical epidural abscess masked due to crowned dens syndrome.

BMJ Case Rep 2020 May 20;13(5). Epub 2020 May 20.

Department of Respiratory Medicine, Kobe Red Cross Hospital, Kobe, Hyogo, Japan.

An 87-year-old Japanese man presented to our hospital with a 5-day history of fever and neck pain. On physical examination, his stiff neck indicated restricted movement, especially on rotation. CT of the head revealed calcification of the atlantoaxial joint consistent with crowned dens syndrome, and celecoxib was started. Read More

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http://dx.doi.org/10.1136/bcr-2020-235126DOI Listing

A rare aetiology of spinal epidural abscess.

Indian J Med Microbiol 2019 Oct-Dec;37(4):590-592

Department of Clinical Microbiology and Immunology, Sir Gangaram Hospital, New Delhi, India.

Spinal epidural abscess (SEA) due to Streptococcus pneumoniae is a rare entity, but it is associated with high mortality. Here, we describe a rare case of pneumococcal SEA in an immunocompetent adult who presented with fever, lower back pain and paresis. Central nervous system examination revealed a decreased power in bilateral lower limbs. Read More

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http://dx.doi.org/10.4103/ijmm.IJMM_19_493DOI Listing

Primary Spinal Epidural Abscesses Not Associated With Pyogenic Infectious Spondylodiscitis: A New Pathogenetic Hypothesis.

Front Surg 2020 30;7:20. Epub 2020 Apr 30.

Unit of Infectious and Tropical Diseases, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, IRCCS San Matteo Hospital Foundation, University of Pavia, Pavia, Italy.

Spinal epidural abscess (SEA) incidence is rising. However, most series do not differentiate between SEAs associated with pyogenic infectious spondylodiscitis (PS) and SEAs limited to the epidural space. We retrospectively reviewed the records and radiological images of all patients admitted to our institutions with a diagnosis of SEA not associated with PS between January 2013 and December 2018. Read More

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http://dx.doi.org/10.3389/fsurg.2020.00020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203469PMC

The first rare and fatal case of invasive aspergillosis of spinal cord due to in an Iranian child with chronic granulomatosis disease: review of literature.

Curr Med Mycol 2020 ;6(1):55-60

Department of Infectious Diseases, Children Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Background And Purpose: Invasive aspergillosis (IA) of the central nervous system (CNS) is a devastating complication which is rarely reported in immunocompromised children. In this case presentation, we reported a rare and fatal IA with spinal cord involvement in a 10-year-old child with X-linked chronic granulomatosis disease (CGD).

Case Report: The child had a previous history of pulmonary tuberculosis. Read More

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http://dx.doi.org/10.18502/cmm.6.1.2551DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217256PMC
January 2020

Orbital cellulitis, sinusitis and intracranial abnormalities in two adolescents with COVID-19.

Orbit 2020 Aug 18;39(4):305-310. Epub 2020 May 18.

Department of Radiology, Rutgers New Jersey Medical School , Newark, New Jersey, USA.

We review two cases of adolescents with orbital cellulitis, sinusitis and SARS- CoV-2 infection presenting to emergency departments within a 24 hour period. SARS-CoV-2 samples obtained within 24 hours were positive, supporting prior infection despite relatively limited early symptoms of COVID-19. Unusual clinical and radiographic characteristics included hemorrhagic abscess with blood of varying age in the first, intracranial epidural abscess in the second, radiographic signal consistent with hemorrhagic or thrombotic phenomena, retro-maxillary antral fat changes, and meningeal enhancement or extension in both cases. Read More

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http://dx.doi.org/10.1080/01676830.2020.1768560DOI Listing

Risk factors for residual neurologic deficits after surgical treatment for epidural abscess in the thoracic or lumbar spine.

Spine J 2020 May 14. Epub 2020 May 14.

Department of Orthopedic Surgery, School of Medicine, National Yang-Ming University, No.155, Sec. 2, Linong Street, Taipei, Taiwan; Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.

Background Context: Spinal epidural abscess (SEA) can cause neurologic deficits and needs urgent surgical intervention. Many clinical factors had been proposed to predict surgical outcomes in patients with SEA, but the predictive radiographic risk factors for residual neurologic deficits were not addressed sufficiently.

Purpose: To analyze the clinical and radiographic risk factors for residual neurologic deficit in patients with SEA after surgical intervention of the thoracic or lumbar spine. Read More

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http://dx.doi.org/10.1016/j.spinee.2020.05.001DOI Listing

Transoral Mandibular Tongue-Splitting Approach in Upper Cervical Epidural Abscess: A Case Report and Review of the Literature.

Spine Surg Relat Res 2020 29;4(2):178-183. Epub 2020 Jan 29.

Department of Orthopaedic Surgery, Faculty of Medicine, Saga University, Saga, Japan.

Introduction: The transoral mandibular tongue-splitting approach is typically performed for the treatment of upper cervical tumor and instability but has not been performed for the treatment of upper cervical epidural abscess (UCEA). We report the first case of UCEA successfully treated with a transoral mandibular tongue-splitting approach.

Technical Note: A 62-year-old man who had medical histories of tracheotomy with intubation and dermatopathy due to radiation therapy for the treatment of nasopharyngeal carcinoma presented with neck pain and limb weakness. Read More

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http://dx.doi.org/10.22603/ssrr.2019-0090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217670PMC
January 2020

Vague neck pain following a gastrointestinal procedure: a rare case presentation of vertebral osteomyelitis and cervical epidural abscess.

Spinal Cord Ser Cases 2020 May 13;6(1):40. Epub 2020 May 13.

The Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Introduction: Vertebral osteomyelitis (VO), spondylodiscitis, and spinal epidural abscesses (SEA) are infectious and inflammatory processes impacting the spine that cause major morbidity and mortality. They require prolonged hospital stays with expensive treatment regimens. Along with acute management, studies have provided evidence highlighting poor long-term outcomes. Read More

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http://dx.doi.org/10.1038/s41394-020-0290-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220930PMC

Fluoroscopy-guided percutaneous needle aspiration of posterior epidural abscesses: a report of two cases.

Spinal Cord Ser Cases 2019 05 10;5(1):43. Epub 2019 May 10.

Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, USA.

Introduction: Spinal epidural abscesses are most commonly treated with surgical decompression and antibiotics or in specific instances managed medically with antibiotic therapy alone. Image-guided percutaneous aspiration as an alternative to surgery has only rarely been reported in the literature.

Case Presentation: We report two cases of successful fluoroscopy-guided needle aspiration of posterior epidural abscesses. Read More

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http://dx.doi.org/10.1038/s41394-019-0190-zDOI Listing

A unusual case of multifocal pyogenic abscess formation following ERCP procedure.

BMC Surg 2020 May 6;20(1):92. Epub 2020 May 6.

Department of Surgery A, Galilee Medical Center, Nahariya, Israel.

Background: Endoscopic retrograde cholangiopancreatography (ERCP) is essential for managing biliary and pancreatic disorders. Infection is the most morbid complication of ERCP and among the most common causes of ERCP-related death.

Case Presentation: A 69-year-old man presented with right upper quadrant abdominal pain, obstructive jaundice and abnormal liver function tests. Read More

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http://dx.doi.org/10.1186/s12893-020-00759-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7203808PMC

Pneumococcal Epidural Abscess in an Asplenic Patient Presenting After Mild Hip Trauma.

Cureus 2020 Mar 31;12(3):e7494. Epub 2020 Mar 31.

Anesthesiology, Baylor College of Medicine, Houston, USA.

We report a unique presentation of an epidural abscess following mild trauma in a patient with asplenia. The patient reported subjective fever and marked pain along the right hip and flank, which are atypical locations for epidural abscess pain. A subsequent urinalysis showed leukocytes, and the diagnosis of an epidural abscess was missed until the patient presented over two weeks later with fever, spinal pain, leg weakness, and urinary incontinence. Read More

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http://dx.doi.org/10.7759/cureus.7494DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193179PMC

T9-T10 Osteomyelitis, Epidural Abscess and Cord Compression Secondary to Mycobacterium abscessus. A Case Report.

Infect Disord Drug Targets 2020 Apr 27. Epub 2020 Apr 27.

Burrell College of Osteopathic Medicine, Las Cruces, New Mexico. United States.

Case Report: We report a case of spinal abscess/osteomyelitis at the T9-T10 levels in a non-immunocompromised patient who presented with lower extremity weakness secondary to a Mycobacterium abscessus infection. This patient was successfully treated with surgical debridement with amikacin-tigecycline-imipenem triple therapy before and after her debridement. Outcomes and treatment with this rare cause of epidural abscess/osteomyelitis are not well defined at this time. Read More

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http://dx.doi.org/10.2174/1871526520666200428095022DOI Listing

Cranial Reconstruction Using Antibiotic-Impregnated Calcium Phosphate Bone Cement With a Titanium Mesh Sheet.

J Craniofac Surg 2020 Jul-Aug;31(5):1452-1454

Department of Plastic and Reconstructive Surgery, Toho, University Omori Medical Center, Tokyo, Japan.

Background: The authors treated skin ulcer accompanied by cranial osteomyelitis using a combination of antibiotic-impregnated calcium phosphate bone cement (Biopex; Pentax, Tokyo, Japan) and a titanium mesh sheet (3D Mesh Plate; Bear Medic, Tokyo, Japan).

Method: A 71-year-old male was treated with superficial temporal artery-middle cerebral artery bypass surgery for diffuse cerebral infarction and obstruction of the left internal carotid artery by a previous doctor. Skin necrosis and epidural abscess developed in the sutured region after surgery, and ulcer accompanied by temporal bone exposure remained. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006427DOI Listing

A 9-year-old boy with a sinus-related epidural abscess caused by Listeria monocytogenes.

Pediatr Int 2020 Apr 19;62(4):502-503. Epub 2020 Apr 19.

Department of, Infectious Diseases, Keio University School of Medicine, Tokyo, Japan.

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http://dx.doi.org/10.1111/ped.14111DOI Listing

Spinal epidural abscess in children: a case-based review.

Childs Nerv Syst 2020 Jul 14;36(7):1385-1392. Epub 2020 Apr 14.

Department of Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy.

Background: Pediatric spinal epidural abscess is a major suppurative infection of the central nervous system. It is an extremely rare pathology carrying serious risk of permanent neurological sequelae if is not properly treated.

Methods And Results: All the pertinent literature was analyzed, focused on pediatric cases of spinal epidural abscess and its peculiar features. Read More

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http://dx.doi.org/10.1007/s00381-020-04609-3DOI Listing

Endoscopic Transforaminal Drainage of a Ventrally Located Thoracic Epidural Abscess.

World Neurosurg 2020 Apr 9;139:268-273. Epub 2020 Apr 9.

Department of Neurosurgery, University of New Mexico Hospital, Albuquerque, New Mexico, USA.

Background: No formalized surgical treatment strategy exists for a thoracic epidural abscess. Although endoscopic approaches have been described for the treatment of spinal infections, this is the first report of an endoscopic transforaminal approach for the drainage of a thoracic/lumbar epidural abscess with placement of indwelling abscess drain. We present a novel use of a known endoscopic approach and describe a minimally invasive surgical option for ventrally located thoracic epidural abscesses. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.03.193DOI Listing

Recognition and Management of Emergent Spinal Pathology Among First-Line Providers.

Orthopedics 2020 Apr 9:1-7. Epub 2020 Apr 9.

Spinal emergencies require prompt identification, management, and surgical referral (if needed) from first-line providers. Diagnostic delays from a failure to recognize emergency conditions can lead to adverse patient outcomes. The objective of this study was to understand the proficiency with which first-line providers can recognize and manage spinal conditions, particularly spinal emergencies. Read More

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http://dx.doi.org/10.3928/01477447-20200404-07DOI Listing

Isolated septic facet joints: an underdiagnosed distinct clinical entity.

Skeletal Radiol 2020 Aug 4;49(8):1295-1303. Epub 2020 Apr 4.

Imaging Institute, Cleveland Clinic, Cleveland, OH, USA.

Objectives: We review a series of isolated septic facet joints (ISFJ) that present as a distinct clinical entity compared with spondylodiscitis. We aim to raise awareness that septic facet joints are not a rare entity in the era of modern imaging.

Methods: We reviewed 353 patients with confirmed spine infections from 2008 to 2017. Read More

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http://dx.doi.org/10.1007/s00256-020-03434-8DOI Listing

Molecular diagnosis of polymicrobial brain abscesses with 16S-rDNA-based next-generation sequencing.

Clin Microbiol Infect 2020 Mar 31. Epub 2020 Mar 31.

Institut für Klinische Mikrobiologie, Immunologie und Hygiene, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Germany. Electronic address:

Objectives: Brain abscesses lead to high mortality despite antibiotic and surgical treatment. Identification of causative bacteria is important to guide antibiotic therapy, but culture-based methods and molecular diagnostics by Sanger sequencing of 16S PCR products are hampered by antibiotic treatment and the often polymicrobial nature of brain abscesses. We have applied 16S-rRNA-based next-generation sequencing (NGS) for metagenomic analysis of intracranial abscess (brain and epidural) and meningitis samples. Read More

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http://dx.doi.org/10.1016/j.cmi.2020.03.028DOI Listing

Lemierre syndrome caused by Klebsiella pneumoniae complicated by epidural abscess - Case report.

IDCases 2020 6;19:e00664. Epub 2019 Nov 6.

Department of Infectology and Geographical Medicine, Faculty of Medicine, Comenius University in Bratislava, Limbova 5, 831 01, Slovak Republic.

is an extremely rare case of the Lemierre syndrome, which is characterized as septic thrombophlebitis of the jugular vein as a consequence of oropharyngeal infection. We present a unique case of Lemierre syndrome caused by complicated by epidural abscess. The patient presented with fever, severe nuchal pain and stiffness and mild sore throat and headache. Read More

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http://dx.doi.org/10.1016/j.idcr.2019.e00664DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093747PMC
November 2019

Intracranial Epidural Abscess in a 9-Year-Old Boy With Precocious Puberty and Use of Continuous Positive Airway Pressure.

J Child Neurol 2020 Jul 30;35(8):509-511. Epub 2020 Mar 30.

Department of Neurology, Mayo Clinic, Rochester, MN, USA.

Intracranial extension of rhinosinusitis is rare in children. We report a 9-year-old immunocompetent boy with central precocious puberty and obstructive sleep apnea-hypopnea syndrome who developed an intracranial epidural abscess secondary to rhinosinusitis while on continuous positive airway pressure (CPAP) treatment. A retrospective review of the medical record and imaging studies was performed. Read More

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http://dx.doi.org/10.1177/0883073820912047DOI Listing
July 2020
1.666 Impact Factor

MRI findings in Pott's spine and correlating clinical progress with radiological findings.

Neuroradiology 2020 Jul 23;62(7):825-832. Epub 2020 Mar 23.

Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh, 226014, India.

Purpose: To document magnetic resonance imaging (MRI) changes in Pott's spine and to correlate these with clinical findings and outcome.

Methods: Patients with Pott's spine having more than one set of MRI were included in the study. Patients were grouped according to timing of their second MRI. Read More

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http://dx.doi.org/10.1007/s00234-020-02402-2DOI Listing
July 2020
2.485 Impact Factor

[Acute mastoiditis with intracranial complication in a pediatric patient].

Arch Argent Pediatr 2020 04;118(2):e166-e169

Unidad de Infectología Pediátrica, Hospital Infantil Miguel Servet, Zaragoza, España.

Acute mastoiditis is an infection that affects the mastoid air-cell system, usually due to the progression of an acute otitis media. The bacteria most frequently isolated in acute mastoiditis are Streptococcus pneumoniae, Streptococcus pyogenes and Staphylococcus aureus. The mastoid infection can extend affecting contiguous structures and producing intra or extracranial complications. Read More

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http://dx.doi.org/10.5546/aap.2020.e166DOI Listing

Assessment of Clinical and Radiological Parameters in Spinal Tuberculosis: Comparison between Human Immunodeficiency Virus-Positive and Human Immunodeficiency Virus-Negative Patients.

Asian Spine J 2020 Mar 13. Epub 2020 Mar 13.

Department of Orthopaedics, B.J. Govt Medical College and Sassoon General Hospital, Pune, India.

Study Design: Prospective comparative study.

Purpose: A prospective comparative analysis of 30 patients with spinal tuberculosis (15 human immunodeficiency viruses [HIV] positive and 15 HIV negative). We compared the clinical and radiological parameters of the two groups. Read More

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http://dx.doi.org/10.31616/asj.2019.0251DOI Listing

Coxsackie Myocarditis with Severe Methicillin-resistant Sepsis, Multi-organ Dysfunction Syndrome, and Posterior Epidural Spinal Abscess: A Case Report.

Indian J Crit Care Med 2020 Jan;24(1):73-76

Department of Medicine, Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.

Aim: The aim of this paper is to present an interesting case of viral myocarditis complicated by sepsis, its sequelae, including multi-organ dysfunction syndrome, and the approach to manage it successfully.

Background: Viral myocarditis is an inflammatory disease of myocardium, often leading to residual heart disease. Commonly, dengue and Coxsackie B viruses are the causative agents. Read More

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http://dx.doi.org/10.5005/jp-journals-10071-23333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7050178PMC
January 2020

Open Reduction and Decompression of Atlantoaxial Subluxation with Basilar Impression Due to Grisel Syndrome Using the Cervical Management Base Unit.

World Neurosurg 2020 Jun 6;138:129-136. Epub 2020 Mar 6.

Department of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.

Background: Intraoperative manipulation of the craniocervical junction with the Cervical Management Base Unit (CMBU) has been used as an adjunct for achieving optimal anatomic alignment during instrumented fusion procedures in a variety of disease settings. Here, we present our experience using the CMBU as a supplement to achieving a successful reduction and fixation of a reducible craniocervical subluxation with associated basilar impression/medullary compression in the setting of Grisel syndrome.

Case Description: Under fluoroscopy and neuromonitoring guidance, the elevator and axial translation mechanisms of the CMBU safely allowed for presurgical assessment of reducibility and facilitated complete reduction of the deformity with restitution of a normal atlantodental interval, spinolaminar line, and clivoaxial angle. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.165DOI Listing

Failure to extubate and delayed reintubation in elective lumbar fusion: An analysis of 57,677 cases.

Clin Neurol Neurosurg 2020 Jun 2;193:105771. Epub 2020 Mar 2.

Anesthesiology, Montefiore Hospital Medical Center, United States.

Objectives: There is a scarcity of literature exploring the consequences of Failure To Extubate (FTE) and Delayed Reintubation (DRI) in spine surgery. While it is reasonable to believe that patients who FTE or undergo DRI after Posterior Lumbar Fusion (PLF) and Transforaminal Lumbar Interbody Fusion (TLIF) are at risk for graver outcomes, there is minimal data to explicitly support that. The goal of this study was to investigate the morbidity and mortality associated with FTE and DRI after lumbar spine surgery in a large pool of patients. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105771DOI Listing
June 2020
1.248 Impact Factor

Acute Eosinophilic Pneumonia: A Rare Complication of Daptomycin Therapy.

Cureus 2020 Jan 28;12(1):e6803. Epub 2020 Jan 28.

Internal Medicine, University of North Dakota School of Medicine, Fargo, USA.

Daptomycin is a cyclic lipopeptide antibiotic with great efficacy targeting gram-positive cocci, including methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococcus. Acute eosinophilic pneumonia is a rare complication of daptomycin therapy, with a poorly understood etiology thought to involve the accumulation of the drug in pulmonary surfactant inducing inflammation. We present a 56-year-old male with a history of spinal epidural abscess being treated with intravenous daptomycin, who presented to the emergency department with fever, developed worsening shortness of breath, and was subsequently discovered to have eosinophilia of pulmonary secretions via bronchoalveolar lavage. Read More

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http://dx.doi.org/10.7759/cureus.6803DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045973PMC
January 2020

Treatment of CSF leakage and infections of dural substitute in decompressive craniectomy using fascia lata implants and related anatomopathological findings.

Br J Neurosurg 2020 Mar 6:1-4. Epub 2020 Mar 6.

Department of Neurosurgery, San Giovanni-Addolorata Hospital, Rome, Italy.

Decompressive craniectomy (DC) is widely used to treat raised intracranial pressure (ICP) in cranial trauma and stroke. It is accompanied by numerous complications. The aim of our study is to assess the surgical treatment of infections related to the use of a dural substitute with concurrent CSF leakage performed at our institution. Read More

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http://dx.doi.org/10.1080/02688697.2020.1735301DOI Listing
March 2020
0.947 Impact Factor

Spinal epidural abscess secondary to gram-negative bacteria: case report and literature review.

J Community Hosp Intern Med Perspect 2020 10;10(1):60-64. Epub 2020 Feb 10.

Department of Internal Medicine, University of California, Riverside, CA, USA.

Bacterial spinal epidural abscess (SEA) is a rare suppurative infection that commonly presents with nonspecific symptoms along with the infrequent triad of fever, back pain, and neurological deficits. Risk factors include diabetes mellitus, intravenous drug use, degenerative disc disease, infection with human immunodeficiency virus, and recent trauma or surgery. Patients with SEA often experience poor outcomes such as permanent neurological deficits, residual motor weakness, and even death. Read More

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http://dx.doi.org/10.1080/20009666.2019.1705009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034427PMC
February 2020

Should the Presence of Spondylodiscitis Alter the Surgical Treatment of Patients with Symptomatic Ventral Cervical Epidural Abscesses? An Institutional Analysiss.

World Neurosurg 2020 Jun 26;138:e282-e288. Epub 2020 Feb 26.

The Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Background: Spinal epidural abscess is a rare pathology with an incidence that has tripled in the past 2 decades. Ventral cervical epidural abscesses (vCEA) of the cervical spine pose particular treatment challenges because of the anatomical location. The aim of this report is to identify trends in the surgical management of these patients and to determine whether concomitant spondylodiscitis warrants fusion at the index surgery. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.103DOI Listing

Full-Endoscopic Removal of Sheared Lumbar Epidural Catheter Fragment.

World Neurosurg 2020 May 27;137:421-424. Epub 2020 Feb 27.

Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea.

Background: An epidural nerve block injection is the most common modality of treatment for control of low backache associated with radiating pain. Epidural catheter injections are also widely used by pain physicians to control cancer pain. Epidural catheters could be associated with procedure-related complications, such as epidural hematoma, epidural abscess, and post-dural puncture headache, and rare complications, such as shearing or breakage of the catheter tip. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.02.111DOI Listing

Organic Lesions in the Brain MRI of Children with Febrile Seizure.

Curr Med Imaging 2020 Feb 25. Epub 2020 Feb 25.

Department of Medicine, Lorestan University of Medical Sciences, Khorramabad. Iran.

Objective: Seizure is the most common neurological disorders in children, where, 4-10% cases experience at least one seizure before the age of 16. The most frequent causes of seizures in children are fever, epilepsy, infection and brain damage. The aim of this study was to investigate the frequency of organic lesions in MRI of children with seizure unrelated to fever. Read More

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http://dx.doi.org/10.2174/1573405616666200226103615DOI Listing
February 2020

The Prognostic Value of Laboratory Markers and Ambulatory Function at Presentation for Post-Treatment Morbidity and Mortality Following Epidural Abscess.

Spine (Phila Pa 1976) 2020 Feb 24. Epub 2020 Feb 24.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.

Study Design: Retrospective cohort study.

Objective: To develop a comprehensive understanding of the prognostic value of laboratory markers on morbidity and mortality following epidural abscess.

Summary Of Background Data: Spinal epidural abscess is a serious medical condition with high rates of morbidity. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003454DOI Listing
February 2020

Needlescopic Appendectomy in Children and Adolescents Using 14G Needles: A New Era.

J Laparoendosc Adv Surg Tech A 2020 Mar 24;30(3):355-361. Epub 2020 Feb 24.

Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt.

We are presenting a new very minimally invasive technique for laparoscopic appendectomy (needlescopic appendectomy [NAP]) in children and adolescents using suture grasper device, epidural needle, and homemade isolated long diathermy probe without any conventional laparoscopic instruments. NAP was attempted in 48 patients with uncomplicated acute appendicitis at Al-Azhar, Tanta University Hospitals and other allied hospitals during the period from May 2017 to November 2018. The study included patients with acute appendicitis and patients scheduled for interval appendectomy. Read More

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http://dx.doi.org/10.1089/lap.2019.0534DOI Listing