Subject(s)
Dura Mater/injuries , Intervertebral Disc Displacement/complications , Lumbar Vertebrae/pathology , Spinal Cord Compression/etiology , Thoracic Vertebrae/pathology , Aged, 80 and over , Diagnosis, Differential , Diskectomy , Dura Mater/pathology , Dura Mater/surgery , Humans , Image Processing, Computer-Assisted , Intervertebral Disc Displacement/diagnosis , Intervertebral Disc Displacement/surgery , Lumbar Vertebrae/surgery , Magnetic Resonance Imaging , Male , Spinal Cord Compression/diagnosis , Spinal Cord Compression/surgery , Thoracic Vertebrae/surgeryABSTRACT
A tuberculous spinal epidural abscess is seen rarely as a late complication of Pott's disease or in immunocompromised patients. Such abscesses in isolation are rare indeed and very uncommon in the developed and developing world. We report a patient with an isolated subacute tuberculous spinal epidural abscess without disc or vertebral involvement and no primary focus or risk factors associated with the development of spinal tuberculosis.
Subject(s)
Cervical Vertebrae/pathology , Dura Mater/pathology , Epidural Abscess/pathology , Epidural Space/pathology , Tuberculosis, Meningeal/pathology , Adult , Antitubercular Agents/therapeutic use , Cervical Vertebrae/diagnostic imaging , Decompression, Surgical , Dura Mater/diagnostic imaging , Dura Mater/microbiology , Epidural Abscess/diagnostic imaging , Epidural Abscess/microbiology , Epidural Space/microbiology , Epidural Space/surgery , Humans , Laminectomy , Magnetic Resonance Imaging , Male , Neck Pain/etiology , Radiculopathy/etiology , Radiography , Spinal Cord Compression/etiology , Treatment Outcome , Tuberculosis, Meningeal/diagnostic imagingABSTRACT
We report the rare occurrence of subarachnoid haemorrhage secondary to probable auto-enucleation of the orbit (oedipism) and we document management of these co-incident pathologies in a schizophrenic patient. A 67 year old schizophrenic woman suffered a subarachnoid haemorrhage and presented with seizures following enucleation of her right eye. Initial efforts should focus on investigation and management of the subarachnoid haemorrhage. Management of Oedipism must include collaboration between psychiatrists, neurosurgeons and opthalmologists, focusing on management of the subarachnoid haemorrhage with precautions to prevent further self-injurious behaviour.
