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Related Concept Videos

Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...

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Related Experiment Video

Updated: Jun 4, 2026

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
08:46

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis

Published on: August 12, 2020

Spinal epidural abscess in a neonate.

Zulma Tovar-Spinoza1, Michelle Bode

  • 1Department of Neurosurgery, SUNY Upstate Medical University, 604 Jacobsen Hall, 750 East Adams Street, Syracuse, New York 13210, USA. tovarspz@upstate.edu

Journal of Neurosurgery. Pediatrics
|February 3, 2011
PubMed
Summary

Spinal epidural abscess is a rare neonatal emergency. Prompt treatment in premature infants is crucial to prevent permanent spinal cord damage.

Area of Science:

  • Neurosurgery
  • Neonatal Medicine
  • Infectious Disease

Background:

  • Spinal epidural abscess (SEA) is a neurosurgical emergency requiring prompt diagnosis and intervention to prevent neurological deficits.
  • SEA is infrequently encountered in premature infants, presenting diagnostic challenges in this population.
  • Coagulase-negative Staphylococcus epidermidis bacteremia can lead to serious complications, including SEA.

Observation:

  • A case of a premature twin neonate presenting with complete paraparesis is described.
  • The neonate had a history of coagulase-negative Staphylococcus epidermidis bacteremia.
  • Diagnosis of spinal epidural abscess was established in the affected neonate.

Findings:

  • The neonate with SEA and paraparesis underwent surgical decompression.

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  • Treatment involved a single-level laminectomy and catheter irrigation.
  • The patient's condition was managed following the surgical intervention.
  • Implications:

    • Early diagnosis and surgical intervention are critical for managing spinal epidural abscess in neonates.
    • This case highlights the successful management of a rare neonatal neurosurgical emergency.
    • Effective treatment strategies for neonatal SEA can improve neurological outcomes.