Mohamed E Elsebaey
Alexandria University
Biography
Mohamed Gohary is working as Neurosurgery MD at
Alexandria University and Consultant of Neurosurgery. Also
Member in NAAS. Member in ESA and Member in ENS.
Abstract
Background: Spinal epidural abscess is very annoying problem, which needs
an immediate medical attention. Its presence within the cervical spine is life
threating issue because of the vital functions that can be compromised as a result
from just the compression effect. So the concept of the bony decompression is
essential in such cases.
Aim: To describe a rare presentation of spinal epidural abscess, a case report of
an extensive epidural abscess within the cervical spinal region.
Results: Case report of cervical epidural abscess in 56 year old male from Rosetta
complained of acute onset of neck pain for about 2 months, with progressive
course of upper and lower limbs weakness and with no sphincter affection.
Patient has not undergone any neck and back surgery previously. Patient has a
history of renal impairment and on medical treatment for about 4 years. Magnetic
Resonance imaging of the cervical spine, showed ventral cervical spinal cord
compression by an epidural abscess extending from the apex of dens to the level
of C5. Surgical intervention via anterior approach and corpectomy of the C4 and
C5, iliac crest graft with plate and screws fixation was done. About 3 months
after surgery, the patient markedly improved and was able to perform the usual
lifestyle activities.
Conclusion: Diagnosing patient with epidural abscess within the cervical spine is
somewhat a difficult suspecting issue in patient with no history of chronic illness
nor previous spine surgery. Evacuation of the abscess and corpectomy of the
friable pathological levels, fusion with iliac crest graft and fixation with plate and
screws was a suitable option in management of this case.