[Intramedullary cervical abscess: a case report and literature review]

Area of Science:

• Neurology
• Infectious Diseases
• Neurosurgery

Background:

• Intramedullary abscesses represent the rarest central nervous system infections.
• Listeria monocytogenes is an atypical causative agent for spinal cord abscesses.
• Absence of a primary purulent focus complicates diagnosis.

Approach:

• Surgical intervention for intramedullary cervical abscess.
• Postoperative antimicrobial therapy tailored to the infectious agent.
• Multidisciplinary approach for diagnosis and treatment strategy.

Key Points:

• Successful surgical management of a rare L. monocytogenes intramedullary cervical abscess.
• Significant regression of neurological deficits post-surgery.
• Challenges in diagnosing spinal cord infections without a clear primary source.

Conclusions:

• Collegial decision-making is crucial for diagnosing and managing intramedullary abscesses.
• Prompt surgical and antimicrobial treatment can lead to favorable outcomes.
• Listeria monocytogenes should be considered in atypical central nervous system infections.