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A Case of Intramedullary Myelitis due to Bacterial Meningitis with Cervical Epidural Abscess
Journal of the Korean Geriatrics Society ; : 62-65, 2005.
Article in Korean | WPRIM | ID: wpr-157366
ABSTRACT
Intramedullary myelitis due to bacterial meningitis associated with cervical epidural abscess is very rare. Its cause and clinical features are non-specific, therefore exact diagnosis is often missed or mistaken for other disease and immediate treatment may be delayed. We report a case of intramedullary myelitis due to epidural abscess presented with prominent symptoms of meningitis and manifestations of acute cerebrovacular accident. A 69 -year-old man was admitted due to right hemicranial headache with pain on right posterior neck and febrile sensation. At first, the patient's headache was improved by conservative therapy. Three weeks later, the patient showed abrupt right hemiparesis (MRC grade 2/5) with drowsy mentality. The CSF findings of the patient were compatible with acute bacterial meningitis. Cervical spine MRI showed cervical epidural abscess and extensive intramedullary myelitis from cervical to lumbar spinal cord. After antibiotic therapy, mentality of the patient became to be alert and right hemiparesis was improved to MRC grade 4/5. Follow up cervical spine MRI after several weeks represented that the lesions of cervical epidural abscess and intramedullary myelitis were significantly diminished.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Paresis / Sensation / Spinal Cord / Spine / Magnetic Resonance Imaging / Follow-Up Studies / Meningitis, Bacterial / Epidural Abscess / Diagnosis / Headache Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Geriatrics Society Year: 2005 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Paresis / Sensation / Spinal Cord / Spine / Magnetic Resonance Imaging / Follow-Up Studies / Meningitis, Bacterial / Epidural Abscess / Diagnosis / Headache Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans Language: Korean Journal: Journal of the Korean Geriatrics Society Year: 2005 Type: Article