Multisegmental tubercular spinal epidural abscess
Hassan Baallal, Brahim El Mostarchid
The Pan African Medical Journal. 2013;14:2. doi:10.11604/pamj.2013.14.2.2268

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Multisegmental tubercular spinal epidural abscess

Cite this: The Pan African Medical Journal. 2013;14:2. doi:10.11604/pamj.2013.14.2.2268

Received: 09/12/2012 - Accepted: 16/12/2012 - Published: 02/01/2013

Key words: spinal epidural abscess, multisegmental tubercular, tuberculosis, surgical decompression, antituberculosis chemotherapy

© Hassan Baallal et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/14/2/full

Corresponding author: Hassan Baallal, Brahim El Mostarchid, Department of Neurosurgery, Mohammed V Military Teaching Hospital, University of King Mohammed V Souissi, Rabat, Morocco (baallalnch@gmail.com)


Multisegmental tubercular spinal epidural abscess

 

Hassan Baallal1,&, Brahim El Mostarchid1

 

1Department of Neurosurgery, Mohammed V Military Teaching Hospital, University of King Mohammed V Souissi, Rabat, Morocco

 

 

&Corresponding author
Hassan Baallal, Brahim El Mostarchid, Department of Neurosurgery, Mohammed V Military Teaching Hospital, University of King Mohammed V Souissi, Rabat, Morocco

 

 

Image in medicine

Tubercular spinal epidural abscess (SEA) is is a devastating infectious disease. Its presence without associated osseous involvement may be considered an extremely rare scenario. We present a rare case of tubercular SEA complicated by paraplegia in an immune-competent 58-year-old male patient. MRI shows a multisegmental posterior collection of epidural fluid extending from C7 to L2 vertebral level and displaces the ventrally located thecal sac, without any evidence of vertebral involvement. The patient made an uneventful recovery following surgical decompression and antitubercular chemotherapy. The diagnosis was confirmed by histopathological demonstration of Mycobacterium tuberculosis in drained pus. Such presentation of tubercular SEA has not been reported previously in the English language based medical literature to the best of our knowledge.

Figure 1: Sagital MRI in T2 shows a multisegmental posterior collection of epidural fluid extending from C7 to L2 vertebral level and displaces the ventrally located thecal sac

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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