Empiema espinhal subdural relato de um caso: case report

Abstract

Spinal subdural empyema is a very unusual condition. About 40 cases have been previously reported. The authors describe another case, mentioning the difficulties in diagnosis particularly when no primary infection is known. In these circumstances, the neurological signs and MRI are important; MRI demonstrates the level of the lesion and its subdural localization. Surgical treatment and antibiotics are clearly indicated and the earliest it is done, the better the results.

Spinal subdural empyema after a dural tear

“…As detailed in a review by Bartels, et al, 3 the condition was first described in 1927, and since that time only slightly more than 50 cases have been reported. [1][2][3][4][5][6][7][8][9][10] We present the first case, to our knowledge, in which an unintended durotomy (or dural tear) that occurred during a routine laminectomy may have contributed to the spread of systemic infection into the subdural space. …”