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Magnetic resonance imaging in the diagnosis of spinal epidural abscess
M Erntell1, S Holtås, K Norlin
1Department of Infectious Diseases, University of Lund, University Hospital, Sweden.
Abstract:
In 3 patients with epidural abscess, 2 in the cervical spine and 1 in the lumbar spine the definite diagnosis was established by magnetic resonance imaging (MR). In 1 patient computerized tomography was performed but the correct diagnosis was revealed only by MR. The infections were all acute and due to Staphylococcus aureus organisms. One patient developed a tetraparesis on the third day, before the diagnosis was established or antibiotic treatment initiated. The other 2 showed only minor and passing neurologic deficits. None was subjected to laminectomy. In 2 cases the diagnosis was confirmed by puncture. None of the patients had a preceding trauma or a known focus for the staphylococcal infection.
Insights
Magnetic resonance imaging (MR) is crucial for diagnosing spinal epidural abscesses caused by Staphylococcus aureus. Early MR diagnosis aids in timely treatment and management of potential neurological deficits.
Area of Science:
- Neurosurgery
- Infectious Diseases
- Radiology
Background:
- Spinal epidural abscesses are serious infections requiring prompt diagnosis and treatment.
- Staphylococcus aureus is a common causative pathogen.
- Neurological deficits can rapidly develop if left untreated.