Intradural Extension of a Pyogenic Epidural Abscess: A Case Report. Issue 3 (July 2015)

• Record Type: Journal Article
• Authors: Rosinsky, Philip J.; Zimhony, Oren; Ciobotaro, Pnina; Sagiv, Shaul; Ben-Galim, Peleg
• Is Part Of: JBJS case connector. Volume 5:Issue 3(2015)
• Publication Date: 2015-07
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.N.00253
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Few cases of spinal epidural abscess involving an extradural abscess with an intradural extension have been reported. A unique complication with extension of pus from the epidural space through multiple perforations into the dura is described. Due to a proximal meningeal inflammatory reaction, which served as a proximal plug, no cerebrospinal fluid leak was encountered. Conclusion: Intradural extension of pus through multiple dural perforations is a rare complication of spinal epidural abscess and a treatment challenge. Early diagnosis enabling prompt surgical decompression, along with subsequent aggressive debridements and prolonged intravenous antibiotic treatment, can lead to a favorable outcome.