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MR imaging appearances of cervical epidural abscess
I M Lang1, D G Hughes, J P Jenkins
1Department of Radiology, Hope Hospital, Salford, UK.
Abstract:
Epidural abscess of the cervical spine is an uncommon disorder. The presentation is often non-specific and the diagnosis unsuspected. Magnetic resonance (MR) imaging is now considered the imaging investigation of choice. We report six patients with cervical epidural abscess diagnosed on MR imaging. The MR imaging showed the abscess to have a variable appearance and enhancement characteristics. Follow-up MR examinations confirmed resolution of the abscess and, in five cases, allowed conservative management.
Insights
Cervical epidural abscesses are rare, often presenting non-specifically. Magnetic resonance (MR) imaging is key for diagnosis, showing variable abscess appearances and enabling conservative management in most cases.
Area of Science:
- Neurosurgery
- Radiology
- Infectious Diseases
Background:
- Cervical epidural abscesses are uncommon and frequently present with nonspecific symptoms.
- Diagnosis is often delayed due to the unsuspected nature of the condition.
Purpose of the Study:
- To report the utility of magnetic resonance (MR) imaging in diagnosing cervical epidural abscesses.
- To describe the MR imaging characteristics and treatment outcomes in patients with this condition.
Main Methods:
- Retrospective review of six patients diagnosed with cervical epidural abscess via MR imaging.
- Analysis of MR imaging features, including abscess appearance and enhancement patterns.
- Evaluation of treatment strategies and follow-up outcomes.
Main Results:
- MR imaging successfully diagnosed cervical epidural abscesses in all six patients.
- The abscesses demonstrated variable appearances and enhancement characteristics on MR imaging.
- Follow-up MR examinations confirmed abscess resolution, supporting conservative management in five cases.
Conclusions:
- Magnetic resonance imaging is the preferred modality for diagnosing cervical epidural abscess.
- MR imaging findings can guide treatment decisions, often allowing for conservative management.
- Early diagnosis and appropriate management are crucial for favorable outcomes in cervical epidural abscess.