title: Cervical epidural abscess presenting with Brown-Sequard syndrome in a patient with type 2 diabetes.
abstract: An 80-year-old woman with type 2 diabetes was admitted due to right-handed muscle weakness. The patient presented with Brown-Sequard syndrome, with complete paralysis of the right lower limb along with a loss of pain and temperature sensations in the left lower limb. Magnetic resonance imaging revealed a cervical epidural abscess, and accompanying edema or inflammation of the right side of the spinal cord at the C5 level. She underwent drainage and evacuation of the spinal abscess, followed by intravenous antibiotic administration. These interventions ameliorated the neurological deficits. The present case suggests the importance of epidural abscess as a rare pathogenetic cause of Brown-Sequard syndrome in type 2 diabetes.
authors.affiliation: Department of Internal Medicine, Chibune Hospital, Osaka, Japan. tamori@chp.aijinkai.or.jp
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Tamori
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Takahashi
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Suwa
authors.forename: Kyota
authors.initials: K
authors.lastname: Ohno
authors.forename: Yuki
authors.initials: Y
authors.lastname: Nishimoto
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Nakajima
authors.forename: Masahiro
authors.initials: M
authors.lastname: Asada
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kita
authors.forename: Masaharu
authors.initials: M
authors.lastname: Tsutsumi
mesh_terms: D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D018437:Brown-Sequard Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D002574:Cervical Vertebrae / Q000473:pathology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy; D003937:Diagnosis, Differential; D020802:Epidural Abscess / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans
chemical_list: D000900:Anti-Bacterial Agents