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Intraoperative Ultrasound in Spinal Surgery

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Intramedullary spinal cord abscess masquerading as spinal tumor.

Mukul Aggarwal¹, K C Aggarwal, Karamchand

¹Department of Pediatrics, VMMC and Safdarjung Hospital, New Delhi, India.

Indian Pediatrics

|January 19, 2012

Summary

A pediatric spinal abscess caused acute paraparesis in a 5-year-old girl. Surgical decompression and antibiotics led to a full recovery, highlighting effective treatment for this rare condition.

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Area of Science:

Neurology
Pediatric Neurosurgery
Infectious Diseases

Background:

Spinal cord abscesses are rare, particularly in children, presenting diagnostic challenges.
Intramedullary spinal lesions require prompt diagnosis and intervention to prevent neurological deficits.

Observation:

A 5-year-old female presented with sudden onset paraparesis and sensory loss.
Spinal magnetic resonance imaging revealed an exophytic intramedullary mass at the T12-L1 level.

Findings:

Intraoperative findings confirmed the mass as a spinal abscess.
Histopathological analysis supported the diagnosis of a spinal abscess.

Implications:

Early surgical decompression and targeted antibiotic therapy are crucial for favorable outcomes in pediatric spinal abscesses.
This case underscores the importance of considering infectious etiologies for acute spinal cord lesions in children.
Prompt management can reverse neurological deficits and improve quality of life.