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Successful Treatment of Pediatric Holo-Spinal Epidural Abscess With Percutaneous Drainage.
Cureus
May 2022
Department of Neurological Surgery, Montefiore Medical Center, Moses Campus, Bronx, USA.
Spinal epidural abscess (SEA) is a rare and potentially devastating neurologic disease that is commonly treated with neurosurgical decompression and evacuation. We describe the case of an 11-month-old immunocompetent infant who presented with a large multiloculated methicillin-resistant abscess in the left lung apex with likely mediastinal involvement, extending into the epidural space from C7 down to L2 causing cord compression which was successfully treated with percutaneous placement of an epidural drainage catheter and antibiotic therapy. Although there are rare reports of percutaneous drainage of SEAs, to our knowledge, there are no reports of successful use of percutaneous indwelling catheters resulting in the complete resolution of an SEA.
View Article and Find Full Text PDFTailored minimally invasive tubular laminectomies for the urgent treatment of rare holocord spinal epidural abscess: case report and review of technique.
J Spine Surg
December 2020
Section of Neurosurgery, Cleveland Clinic Indian River Hospital, Vero Beach, FL, USA.
Spinal abscesses that involve the full length of the spine, from the cervical to the sacral regions, are rare and account for approximately 1% of spinal epidural infections. Urgent surgical decompression combined with antibiotics treatment is usually recommended in these patients and selection of the most suitable surgical approach is tailored on the extent and location of the fluid collection. We present a rare case of holocord spinal epidural abscess treated with cervico-thoracic-lumbar tandem tubular decompressive laminectomies with alternating incisions, which were tailored on the preoperative sagittal and axial extension of the abscess.
View Article and Find Full Text PDFVentral holocord spinal epidural abscess managed surgically in a critical setting.
Surg Neurol Int
December 2019
Department of Orthopaedics, Khoula Hospital, Muscat, Oman.
Background: Extensive epidural abscess is an uncommon entity which is increasing in the aging population. Its prevalence is also greater among those with diabetes mellitus and in those who are immunocompromised. Here, a 59-year-old female presented with a spinal epidural abscess (SEA) warranting operative intervention.
View Article and Find Full Text PDFPediatric Holocord Epidural Abscess Treated with Apical Laminotomies with Catheter-directed Irrigation and Drainage.
Cureus
September 2019
Department of Neurological Surgery, University of Wisconsin, Madison School of Medicine and Public Health, Madison, USA.
Spinal epidural abscesses (SEA), while fortunately rare, carry significant risk to affected patients. Optimal treatment of these infections is poorly defined due to the heterogeneity of clinical and radiographic presentations. Urgent surgical evacuation of the infection is critical in cases with spinal cord compression or neurological compromise, though challenges may arise from competing surgical objectives, including the need for successful debridement of the infection, desire to minimize operative intervention, and risk of delayed iatrogenic instability.
View Article and Find Full Text PDFA rare case of holocord spinal epidural abscess.
QJM
April 2020
Department of Medicine, Saint Vincent Hospital, Worcester 01608, MA, USA.
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