Myelopathy due to spinal epidural abscess without cord compression: A diagnostic pitfall

B. P.C. Van De Warrenburg, P. Wesseling, Q. H. Leyten, R. H. Boerman

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

Spinal epidural abscess (SEA) is a neurological emergency that requires urgent diagnosis and treatment. We report 2 patients with SEA, in whom, on neuropathological examination, the neurological signs were found to be caused by spinal cord ischemia due to thrombosis of leptomeningeal vessels and compression of spinal arteries, respectively, while evidence of spinal cord compression was absent. Clinicians and neuropathologists should be aware of the variable mechanisms underlying the neurological involvement in SEA. Absence of spinal cord compression by the abscess may hamper early diagnosis and treatment.

Original languageEnglish
Pages (from-to)102-106
Number of pages5
JournalClinical Neuropathology
Volume23
Issue number3
Publication statusPublished - May 2004
Externally publishedYes

Keywords

  • Compression
  • Epidural abscess
  • Ischemia
  • Myelopathy
  • Spinal cord

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