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Updated: Jul 14, 2026
05:45
Expansion Duroplasty For Severe Cervical Spinal Cord Swelling After Traumatic Injury: A Step-by-Step Surgical Protocol
Published on: May 26, 2026
[Syrinx formation secondary to cervical epidural abscess]
Yuji Tanaka1, Hiroshi Nishida, Takashi Inuzuka
1Department of Neurology and Geriatrics, Division of Neuroscience, Graduate School of Medicine, Gifu University.
Rinsho Shinkeigaku = Clinical Neurology
|May 22, 2007
Summary
A rare case of spinal cord syrinx formation occurred after a patient developed cervical epidural abscess, meningitis, and discitis. This study highlights a potential complication of severe spinal infections.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Cervical epidural abscess, spondylitis, discitis, and meningitis are serious spinal infections.
- Syrinx formation (fluid-filled cavity) is a potential complication of spinal cord injury or inflammation.
Observation:
- A 53-year-old woman presented with fever, headache, and neck pain, exhibiting neurological deficits.
- Cerebrospinal fluid analysis revealed high cell count and protein, with Staphylococcus aureus identified.
- Cervical MRI showed extensive inflammation involving meninges, vertebral bodies, and intervertebral discs.
Findings:
- The patient was diagnosed with cervical epidural abscess, spondylitis, discitis, and meningitis.
- Initial treatment with antibiotics and steroids improved symptoms.
- Follow-up MRI revealed a newly formed syrinx extending from C3 to C7.
Implications:
- This case demonstrates syrinx formation as a delayed complication of severe cervical infections.
- Early recognition and aggressive treatment of spinal infections are crucial.
- Further research is needed to understand the mechanisms linking spinal infections to syrinx development.
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