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, Pages 163-167 PDF (1.22 M) | ||
| Document Type: Case Reports | ||
| DOI: 10.21608/pajn.2023.169470.1076 | ||
| Authors | ||
| ELMAJDOUB YOUSSEF* ; ABDELILAH IDIR; OKACHA NAAMA; OMAR BOULAHROUD | ||
| 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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