Acute spinal cord compression due to epidural lipomatosis complicated by an abscess: magnetic resonance and pathology findings.
A 68-year-old male presented with rapidly progressive paraplegia. MR images of the thoracic spine were interpreted as being consistent with an abscess within an epidural lipomatosis compressing the spinal cord. Laminectomy was performed, and a large amount of pus was drained from the epidural lipomatosis, from which Staphylococcus aureus was isolated. This is the first reported case of an abscess involving an epidural lipomatosis.
Zuccoli
Giulio
G
Radiology Department, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy. giulio.zuccoli@gmail.com
Pipitone
Nicolò
N
De Carli
Nicola
N
Vecchia
Luigi
L
Bartoletti
Stefano C
SC
D000038:Abscess / Q000150:complications / Q000382:microbiology / Q000473:pathology*; D000208:Acute Disease; D000368:Aged; D006801:Humans; D008068:Lipomatosis / Q000150:complications / Q000382:microbiology / Q000473:pathology*; D008297:Male; D013117:Spinal Cord Compression / Q000382:microbiology / Q000473:pathology*; D013122:Spinal Diseases / Q000150:complications / Q000382:microbiology / Q000473:pathology*; D013203:Staphylococcal Infections / Q000150:complications / Q000473:pathology*; D016896:Treatment Outcome