American Journal of Clinical Neurology and Neurosurgery
Articles Information
American Journal of Clinical Neurology and Neurosurgery, Vol.4, No.1, Mar. 2019, Pub. Date: Mar. 19, 2019
Spinal Epidural Abscess in Immunocompetent Child: A Case Report and Review of Literature
Pages: 1-7 Views: 79 Downloads: 50
Authors
[01] Al-Saadi Tariq, Department of Neurosurgery, Montreal Neurological Institute and Hospital - McGill University, Montreal, Canada; Department of Neurosurgery, Khoula Hospital, Muscat, Oman.
[02] Al Shandoudi Leena, Department of Pediatrics, Sultan Qaboos University, Muscat, Oman.
[03] Al Sharqi Jawahir, Department of Pediatrics, Royal Hospital, Muscat, Oman.
[04] Al Adawi Zakariya, Department of Pediatrics, Armed Force Hospital, Muscat, Oman.
[05] Al Sharqi Ali, Department of Neurosurgery, Sultan Qaboos University, Muscat, Oman.
Abstract
Spinal epidural abscess (SEA) is uncommon and rare condition in immunocompetent population and even more rare in pediatric group. The incidence of spinal epidural abscess appears to be increasing and comprises up to 2 per 10,000 hospital admissions. The presentation is variable and diagnosis can be easily missed on first visit. The diagnosis is established by history, clinical examination finding, increased inflammatory markers and neurological imaging. Surgical decompression and drainage in combination with antibiotic for four to six weeks are the typical treatment for SEA. An alternative treatment with parenteral antibiotic only is an alternative treatment. We reported an 11-year-old girl presented fever, chest and back pain she was found to have unsteady gait and lower extremity weakness. Spinal MRI showed heterogeneous enhancing collection in the posterior epidural space from the level of T2 vertebra to T10 vertebra. She was treated with antibiotic for 6 weeks without complications.
Keywords
Spine, Epidural, Abscess, Immunocompetent, Pediatric
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