SPINAL EPIDURAL ABSCESS AFTER A TRANSURETHRAL RESECTION OF THE PROSTATE: A CASE REPORT | ||||
| Pan Arab Journal of Neurosurgery | ||||
| Article 11, Volume 18, Issue 2, December 2023, Page 163-167 PDF (1.22 MB) | ||||
| Document Type: Case Reports | ||||
| DOI: 10.21608/pajn.2023.169470.1076 | ||||
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| Authors | ||||
ELMAJDOUB YOUSSEF   ; ABDELILAH IDIR; OKACHA NAAMA; OMAR BOULAHROUD
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| Department of Neurosurgery, Sidi Mohamed Ben Abdellah University, University Hospital Center Hassan II, Faculty of Medicine and Pharmacy of Fez. | ||||
| Abstract | ||||
| Spinal epidural abscess is a rare pathology consisting of an extensive purulent spinal collection in the spinal epidural space. It is a major medical and surgical emergency. Magnetic resonance imaging is currently the most sensitive and specific examination for the diagnosis of epidural space pathologies. We report a case of a 64 years old male admitted for the management of a spinal cord compression due to a dorsal spinal epidural abscess, successfully treated with surgery and adapted antibiotics after a bacteriological study of pus samples. We report a case of a 64 years old male with a history of urinary tract intervention, admitted for the management of a subacute weakness of both lower limbs progressively evolving for 15 days prior to his admission, in whom the clinical and the neurological examination found a paraparesis graded 4/5 predominating in the proximal part, a T4 sensory level, with a pyramidal syndrome and a posterior cord syndrome. He also had urinary incontinence. All evolving in a febrile and an altered general state with a Karnovfky score estimated at 60%. | ||||
| Keywords | ||||
| Spinal epidural abscess; S. Aureus; Spinal cord MRI; Laminectomy; Antibiotics | ||||
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