Pyogenic intradural abscess: a case report.
METHODS
A case report of pyogenic intradural abscess is described.


OBJECTIVE
The rarity of the presentation and its successful management are discussed.


BACKGROUND
Intradural abscesses are exceptionally rare.


METHODS
The abscess was drained by performing a posterior midline lumbar durotomy, and intravenous antibiotics were initiated.


RESULTS
At the 1 year follow-up, the patient has made significant neurologic recovery.


CONCLUSIONS
Intradural pyogenic abscess secondary to chronic pyogenic spondylodiscitis is a rare manifestation. MRI is a vital component in diagnosis, which revealed key pathologic features within the dural sac as well as in the vertebral column. An emergency decompression and appropriate antibiotic regimen is the solution for a favorable outcome.
Kulkarni
Arvind G
AG
Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada. drarvindspines@yahoo.co.in
Chu
Gordon
G
Fehlings
Michael G
MG
D000038:Abscess / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002908:Chronic Disease; D015299:Discitis / Q000382:microbiology / Q000473:pathology*; D004322:Drainage; D004388:Dura Mater / Q000382:microbiology / Q000473:pathology*; D005436:Floxacillin / Q000008:administration & dosage; D006801:Humans; D017116:Low Back Pain / Q000382:microbiology / Q000473:pathology; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D013203:Staphylococcal Infections / Q000150:complications / Q000188:drug therapy / Q000473:pathology*
D000900:Anti-Bacterial Agents; D005436:Floxacillin