ABSTRACT
We report a case of spinal intradural abscess which shows serial changes on magnetic resonance imaging (MRI). Well-encapsulated, rim-enhancing lesion with mass effect was visualized at ventral side of lumbar spinal canal on 17 days after initial negative MRI, which was thought to be epidural abscess. It was revealed to be intradural in location on operation and successfully treated by drainage and antibiotics. Follow-up MRI showed resolution of abscess. Clinical significance and pathogenesis of this case was briefly discussed.
Subject(s)
Abscess , Anti-Bacterial Agents , Drainage , Epidural Abscess , Follow-Up Studies , Magnetic Resonance Imaging , Spinal Canal , SpineABSTRACT
We, herein present a case of intradural aspergillus abscess with flaccid paraplegia in a 41-year-old immuno-competent female. On her past medical history, the left pneumonectomy was performed for lung aspergilloma 7 months before admission. A magnetic resonance image disclosed a large intradural enhanced mass compressing spinal cord laterally from T9 to T10. She underwent extensive laminectomy(T8-T10) and removal of the granulation tissue. Postoperative aggressive medical treatment with antifungal agent(amphotericin-B) was done. Although her neurologic status is not fully recovered, no further progression of infection process is found up to the present.