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SPONTANEOUS EPIDURAL ABSCESS İN CERVICOTHORACIC JUNCTION: Case Report

FATİH KESKİN,ERDAL KALKAN,YAŞAR KARATAŞ,Gülsüm ARSLAN

  • FATİH KESKİN: T.C. SAĞLIK BAKANLIĞI
  • ERDAL KALKAN: Konya Medova Hastanesi, Beyin ve Sinir Cerrahisi
  • YAŞAR KARATAŞ: Farabi Hastanesi, Beyin ve Sinir Cerrahisi, Konya, Türkiye
  • Gülsüm ARSLAN: KONYA NECMETTİN ERBAKAN ÜNİVERSİTESİ
  •  Year : 2025
  •  Vol : 5
  •  Issue : 1
  •  Page : 34-36
Spontaneous spinal epidural abscess (SEA) is an uncommon but potentially fatal and shattering infectious disease. Generally treatment strategy for SEA is antibiotics and surgical decompression. In this report we present a SEA which was located at cervicothoracic region and highlight the importance of correct diagnosis and surgical timing for neurological functional recovery. We report a 65-year-old woman who presented to the emergency department of our hospital with progressive weakness in the arms and legs. The patient's spontaneous breathing had stopped immediately after the emergency admission and she was comatose with quadriplegia. Craniospinal axis magnetic resonance imaging revealed an extradural lesion at the C4-Th2 level with significant compression of the spinal cord. The patient was operated with left C5-Th1 hemilaminectomy and pus-like fluid drained from the epidural space. Empirical ceftriaxone and teicoplanin treatment was given. Spontaneous breathing started after the operation and quadriplegia improved and 4/5 upper and 2/5 lower extremity quadriparesis was achieved in the early postoperative period. Spinal epidural abscess is a rare disease.Delays in correct diagnosis of SEA might be cause irreversible neurological deficits and potentially fatal. Suspicion and careful clinical evaluation with detailed history and physical and neurological examination is essential in SEA patients.
Cite this Article As : Keskin F, Kalkan E, Karatas Y, Arslan Karagoz G. Spontaneous Epidural Abscess in Cervicothoracic Junction: Case Report. Mev Med Sci. 2025; 5(1): 34-36

Conflict of interest : The authors declare that they have no conflict of interest.

This article is published under the CC BY-NC 4.0 license.
Mevlana Tıp Bilimleri
2025, Vol5, Issue1
E-ISSN: 2757-976X
Received : , Accepted : , Published Online :

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