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[Streptococcus milleri subacute spinal cord abscess. Apropos of a case]
J B Lahdou1, C Gilliard, B D de Coene
1p6rvice de Neurochirurgie, Cliniques Universitatres UCL de Mont-Godinne, Yvoir, Belgique.
Abstract:
Since 1830, more than eighty cases of spinal cord abscesses have been reported. In half of these cases, it was unfortunately a post-mortem diagnosis. Magnetic resonance imaging (MRI) now gives new possibilities in the diagnosis and treatment of this rare pathology. We report here a case of cervical spinal cord abscess due to Streptococcus milleri. The clinical and laboratory findings, the MRI features, the pathogenicity of the offending pathogen and the surgical approach are discussed and compared with the data from the literature. The functional course was unexpectedly favourable in this patient. MRI allows prompt diagnosis and a precise localisation of the suspected abscess. Rapid surgical drainage is a critical prognostic factor for effective management of spinal cord abscess.
Insights
Spinal cord abscesses are rare, but prompt diagnosis with Magnetic Resonance Imaging (MRI) and surgical drainage significantly improves patient outcomes. Early intervention is key for managing this serious condition.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Spinal cord abscesses are infrequent, with a historical diagnostic challenge, often identified post-mortem.
- Magnetic Resonance Imaging (MRI) has revolutionized the diagnostic capabilities for this rare pathology.
Observation:
- A case of cervical spinal cord abscess caused by Streptococcus milleri is presented.
- The patient's clinical presentation, laboratory results, and Magnetic Resonance Imaging (MRI) findings were analyzed.
Findings:
- Magnetic Resonance Imaging (MRI) enables rapid and precise localization of spinal cord abscesses.
- The study discusses the pathogen's pathogenicity and surgical management, comparing them with existing literature.
Implications:
- Prompt diagnosis via MRI and timely surgical intervention are critical for favorable patient prognosis.
- This case highlights the importance of advanced imaging in managing spinal cord abscesses effectively.