Cervical epidural abscess presenting with Brown-Sequard syndrome in a patient with type 2 diabetes.
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.
Tamori
Yoshikazu
Y
Department of Internal Medicine, Chibune Hospital, Osaka, Japan. tamori@chp.aijinkai.or.jp
Takahashi
Tetsuya
T
Suwa
Hideyuki
H
Ohno
Kyota
K
Nishimoto
Yuki
Y
Nakajima
Shinsuke
S
Asada
Masahiro
M
Kita
Tetsuya
T
Tsutsumi
Masaharu
M
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
D000900:Anti-Bacterial Agents