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Spontaneous lumbar intraspinal subdural abscess: a case report.
Oscar James MacCormac1,2, Nabih Berjaoui3, Sean Mizzi4
1School of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, London, SE1 7EH, UK. oscar.j.macormac@kcl.ac.uk.
A rare spontaneous subdural spinous abscess in a 56-year-old female was successfully treated with surgery and antibiotics. Early diagnosis and intervention are crucial for favorable outcomes in this uncommon spinal infection.
Area of Science:
- Neurosurgery
- Infectious Diseases
- Spinal Surgery
Background:
- Subdural spinous abscess is a rare spinal pathology with high morbidity.
- Spontaneous cases are exceptionally uncommon in medical literature.
Observation:
- A 56-year-old female presented with low back pain, bilateral sciatica, and urinary retention.
- Magnetic resonance imaging confirmed a lumbar subdural spinous abscess.
Findings:
- The patient underwent successful surgical evacuation and received prolonged antibiotic therapy.
- Complete neurological recovery was achieved within 12 weeks post-surgery.
Implications:
- This case underscores the importance of considering rare infections like spontaneous subdural spinous abscess.
- Prompt diagnosis and early surgical intervention are vital for optimal patient outcomes.
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