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Holospinal epidural abscess with multiple muscle abscesses and aortic valve endocarditis: case report.
Acta Neurol Belg
February 2024
Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, Camí Can Ruti s/n., Badalona, 089M6, Barcelona, Spain.
Holospinal epidural abscess caused by : a literature review.
BMJ Case Rep
December 2022
Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Kobe, Hyogo, Japan.
Spinal epidural abscess (SEA) usually extends over three to four vertebrae. We present a case of holospinal epidural abscess (HEA) caused by the group (SAG). A man in his 40s with a 2-week history of fever, back pain, and progressive tetraparesis was referred to us from the local hospital.
View Article and Find Full Text PDFThe Surgical Management of Holospinal Epidural Abscess: A Case Report and Review on Catheter-Based Irrigation Techniques.
Cureus
October 2022
Neurosurgery, Hurley Medical Center, Flint, USA.
Holospinal epidural abscess (HEA) is an extremely rare spinal infection involving the entire spine and is infrequently reported in the literature. Cases with evidence of spinal cord compression and consequent neurological deficit are typically managed with prompt surgical drainage and broad-spectrum antibiotics. Surgical intervention is often challenging because this condition is inherently associated with poor prognosis and serious complications, including death.
View Article and Find Full Text PDFManagement of Holospinal Epidural Abscess.
World Neurosurg
October 2022
Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland, USA. Electronic address:
Holospinal epidural abscess (HEA) is a rare condition that can cause extensive cord compression, necessitating prompt neurosurgical intervention for evacuation and drainage. Here we report the case of a 74-year-old male with HEA due to Cutibacterium acnes infection leading to headache, neck stiffness, and decreased mental acuity, successfully treated using segmental laminectomies in the cervical, thoracic, and lumbar spine.
View Article and Find Full Text PDFSuccessful 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.
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