Cervical Epidural Abscess – Two Case Reports

Česká verzia

Authors: R. Chaloupka; L. Ryba
Authors place of work: Ortopedická klinika LF MU a FN Brno
Published in the journal: Cesk Slov Neurol N 2014; 77/110(2): 240-242
Category: Case Report

Summary

Epidural abscess (EA) continues to remain a rare and serious disease associated with considerable mortality. The difficult and frequently delayed diagnosis is a major problem associated with this condition. Early surgical treatment, together with long-term administration of antibiotics, may prevent development of a neurological deficit or alleviate it. The aim of this paper is to emphasise the need for individualized surgical treatment. The authors present two case reports of polymorbid patients with cervical EA associated with severe quadriparesis. A multi-stage therapy with four surgeries through anterior approach was used in the first patient with a ventral EA. Following a long-term treatment, his neurological findings showed significant improvement. The second patient with a dorsal EA and concomitant spinal stenosis had laminoplasty through dorsal approach; his neurological findings improved but he died from cardiopulmonary failure six weeks after the surgery.

Key words:
cervical spine – epidural abscess – surgical treatment

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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