Paraplégie flasque due à des abcès intramédullaires et épiduraux à staphylocoques dorés. Méningite et spondylodiscite associées

Ferroir, J. P.; Lescure, François-Xavier; Giannesini, C.; Elghozi, D; Marro, B.

doi:10.1016/j.neurol.2011.10.010

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Both prior cases presented by Byrne et al involved the lumbar spine [9]. Later, other authors have reported four additional cases associated with discitis/osteomyelitis [10][11][12][13]. To our knowledge, the current case is the eighth patient with an ISCA associated with discitis/osteomyelitis.…”

Section: Discussionmentioning

confidence: 62%

Cervical Intramedullary Spinal Cord Abscess Secondary to Discitis and Osteomyelitis in an Immunocompromised Patient

Maldonado-Pérez,

Estronza,

Maldonado

et al. 2024

Cureus

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Intramedullary spinal cord abscess is a rare neurological condition, not commonly suspected and often misdiagnosed. Even after a prompt diagnosis and treatment, most patients persist with permanent neurological deficits. In adults, factors such as immunocompromised, intravenous drug use, endocarditis, and sepsis could be associated with its development. In this study, we present the case of a 63-year-old male patient who developed a chronic cervical intramedullary spinal cord abscess after being treated for multiple abscesses in the paravertebral and psoas muscles. A diagnosis of cervical intramedullary spinal cord abscess secondary to osteomyelitis and discitis was made. He underwent a two-stage cervical surgery, with drainage of the abscess, spinal stabilization, and intravenous antibiotics. Although rare, vertebral osteomyelitis and discitis may be related to its development. Early diagnosis, prompt abscess drainage, and appropriate antibiotic therapy are of utmost importance to improve prognosis and minimize the long-term sequelae and complications of permanent neurological deficits.

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Section: Discussionmentioning

confidence: 62%

Cervical Intramedullary Spinal Cord Abscess Secondary to Discitis and Osteomyelitis in an Immunocompromised Patient

Maldonado-Pérez,

Estronza,

Maldonado

et al. 2024

Cureus

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“…The medullary abscess is considered primary when no causative infectious focus has been found (45% of cases). In order of decreasing frequency, the staphylococcus aureus (23%), streptococcus (17%) and Gram-negative bacilli are the responsible bacteria [4,7,8]. Staphylococcus aureus is the germ isolated in our case after the cytobacteriological examination of pus.…”

Section: Discussionmentioning

confidence: 90%

“…The wellconducted treatment associating surgical drainage and antibiotic therapy adapted to the germ involved are the best guarantors of functional prognosis [2][3][4]. The interest of this observation lies in the neurological consequences of the infectious complications due to the neglected dermal sinuses making the prophylactic neurosurgical treatment urgent [5].…”

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confidence: 99%

Spinal Abscess Revealed by Spastic Paraplegia in a 15-Month-Old Infant: About an Observation

Mukuku¹

2017

MOJCR

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Submit Manuscript | http://medcraveonline.com particularly MRI, has greatly facilitated the diagnosis. The wellconducted treatment associating surgical drainage and antibiotic therapy adapted to the germ involved are the best guarantors of functional prognosis [2][3][4]. The interest of this observation lies in the neurological consequences of the infectious complications due to the neglected dermal sinuses making the prophylactic neurosurgical treatment urgent [5]. The other interest is to present the very specialized management of the consequences of the paraplegia of the infant. We report an observation of a 15-month-old infant admitted for motor deficiency of the lower limbs of progressive installation evolving in a febrile context and in which the clinical examination revealed a spastic paraplegia. Spinal MRI shows a pseudo-tumor process. Neurosurgical surgery was performed and an intramedullary abscess was found and a dermal sinus was present. Pus culture isolated Staphylococcus aureus. Adequate antibiotics were administered and the progression was satisfactory with partial recovery of muscle strength. ObservationIt is a 15-month-old infant of Mauritanian nationality, with a history of unprotected neonatal infection, received in our neurological clinic for motor deficiency of the two lower limbs. His psychomotor development was normal. The symptomatology evolved for about 4 months, with the occurrence of a fever, an irritability and a dorsal kyphosis. In view of these manifestations, the infant was brought to the local health center for treatment, where a non-documented treatment has been instituted for a period of 10 days. After 10 days of treatment, the patient presented progressively over 20 days a motor deficit of the lower limbs preceded by a functional impotence of the lower limbs causing an impossibility of the walking and the seated station, without context of acute retention of urine or constipation. This is what motivated the parents to consult again in another health center in Nouakchott where the patient was hospitalized for 5 days and left without improvement of his clinical picture. Finally, he will be referred to the FANN Neurology Clinic in Dakar for specialized care. It should be noted that the parents of the infant had detected a dorsal cutaneous swelling during his neonatal period, but they had thought that it was an innocent lesion that did not need further investigation (of little clinical importance). The clinical examination found a good state of hydration, hyperthermia at 38.5 °C. The infant was conscious with good preservation of superior functions. However, he had a spastic paraplegia with a muscular force rated at 0/5 on the two lower limbs, osteo-tendinous reflexes were sharp at the two lower limbs, poly kinetic and diffuse with an epileptoid trepidation of the feet, plantar reflexes were in extension, the neck was supple. On the other hand, tone, muscle strength and osteo-tendinous reflex were normal to the upper limbs. There were no signs of meningeal irritation. At the level ...

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“…На МРТ абсцесс характеризуется сигналом низкой интенсивности на T1 ВИ с периферическим усилением на посткон-трастных изображениях, на Т2 ВИ ему соответствует высокоинтенсивный сигнал с периферической зо-ной перифокального отека [54].…”

Section: рис 1 стандартная неврологическая классификация поражений unclassified

Neurological status and imaging spinal cord in patients with infectious spondylitis: is it possible to comparisons with spondylogenic myelopathy?

Макогонова

Евгеньевна²,

Mushkin

et al. 2017

Rev Clin Pharm Drug Ther

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Spend a literary analysis of the role of radiation diagnosis in the first place - magnetic resonance imaging to visualize changes in the spinal cord in infectious spondylitis. Neurological disorders, manifested by radicular symptoms and signs of spinal cord irritation to deep paresis and plegia in violation of the pelvic organs, are observed in the majority of patients with spondylitis and may be due to the spinal cord and its roots and / or a breach of its microcirculation on the background of the pathological process in the vertebrae. Dynamic (pre- and postoperative) imaging of the spinal canal and its contents in tuberculous and nonspecific spondylitis is important for a more complete assessment of the disease, and for the prediction of the dynamics of neurological disorders. (For citation: Makogonova ME, Mushkin AYu, Gavrilov PV. Neurological status and imaging spinal cord in patients with infectious spondylitis: is it possible to comparisons with spondylogenic myelopathy?. Reviews on Clinical Pharmacology and Drug Therapy. 2017;15(2):64-72. doi: 10.17816/RCF15264-72).

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Paraplégie flasque due à des abcès intramédullaires et épiduraux à staphylocoques dorés. Méningite et spondylodiscite associées

Cited by 6 publications

References 9 publications

Cervical Intramedullary Spinal Cord Abscess Secondary to Discitis and Osteomyelitis in an Immunocompromised Patient

Cervical Intramedullary Spinal Cord Abscess Secondary to Discitis and Osteomyelitis in an Immunocompromised Patient

Spinal Abscess Revealed by Spastic Paraplegia in a 15-Month-Old Infant: About an Observation

Neurological status and imaging spinal cord in patients with infectious spondylitis: is it possible to comparisons with spondylogenic myelopathy?

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