Spinal epidural abscess associated with epidural anesthesia: gadolinium-enhanced magnetic resonance imaging and its usefulness in diagnosis and treatment.
A case of spinal epidural abscess following epidural anesthesia is described. Gadolinium-enhanced magnetic resonance images were essential in diagnosis of the abscess without frank pus formation, in defining the extension of the infection, and in assessing the therapeutic effect. The patient was successfully treated non-operatively before neurological symptoms developed and full recovery was achieved.
Higuchi
T
T
Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama.
Imagawa
A
A
Murahashi
M
M
Hara
H
H
Wakayama
Y
Y
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D000328:Adult; D000667:Ampicillin / Q000008:administration & dosage*; D000767:Anesthesia, Epidural / Q000009:adverse effects*; D002511:Cephalosporins / Q000008:administration & dosage*; D004359:Drug Therapy, Combination / Q000008:administration & dosage*; D004824:Epidural Space; D005682:Gadolinium; D006801:Humans; D007089:Image Enhancement; D008279:Magnetic Resonance Imaging; D008297:Male; D013122:Spinal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D000097572:Cefpirome
D000667:Ampicillin; D002511:Cephalosporins; D005682:Gadolinium; D000097572:Cefpirome