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Epidural abscess after lumbar discography. A case report
J Junila1, T Niinimäki, O Tervonen
1Department of Surgery, Oulu University Hospital, Finland.
Spine
|October 10, 1997
Summary
Spinal epidural abscess is a rare complication following discography. Early diagnosis with MRI and prompt surgical intervention are crucial for symptom resolution.
Area of Science:
- Medical Imaging
- Neurosurgery
- Infectious Diseases
Background:
- Discitis is a known complication of discography.
- Spinal epidural abscess (SEA) following discography is rare.
Observation:
- A patient developed a spinal epidural abscess after undergoing discography for lower leg pain.
- Elevated C-reactive protein levels indicated infection, prompting immediate antibiotic therapy.
Findings:
- Magnetic resonance imaging (MRI) effectively diagnosed the spinal epidural abscess.
- Surgical intervention (laminotomy) led to rapid resolution of symptoms.
Implications:
- Discography carries risks of rare but severe complications like epidural abscess.
- Prophylactic measures such as antibiotic use and specialized needles may reduce risk.
- Prompt diagnosis via MRI and timely surgery are essential for managing this complication.