Epidural abscess causing tetraparesis: case report
- 1 December 1986
- journal article
- research article
- Published by Springer Nature in Spinal Cord
- Vol. 24 (6) , 364-369
- https://doi.org/10.1038/sc.1986.54
Abstract
A case is presented of a 26-year-old male with a 8-day history of fever and back pain, and limb weakness beginning 24 hours before admission. An abscess caused by a staphylococcus aureus was localised in the thoracic paravertebral region with penetration in the subarachnoidal space at T1. Myelography appeared to be superior to CAT-scan and NMRI of the cervico-thoracal region in supporting the diagnosis. Treatment by laminectomy of C7-T3 48 hours after admission did not lead to neurological improvement and an incomplete tetraplegia persisted. The importance and difficulty of early diagnosis is stressed.Keywords
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