title: Hip pain and cauda equina syndrome.
abstract: Acute cauda equina syndrome secondary to a spinal epidural abscess as a result of a psoas abscess is very uncommon. We report the case of a 64-year old with a 6-day history of left hip pain, which progressively worsened until she presented to the emergency department with systemic infective symptoms and classical acute cauda equina syndrome. A good clinical outcome was achieved by urgent posterior decompression, followed by CT-guided drainage of the psoas abscess and appropriate antibiotic treatment.
authors.affiliation: Department of Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin 7. richkavanagh@rcsi.ie
authors.forename: R G
authors.initials: RG
authors.lastname: Kavanagh
authors.forename: N G
authors.initials: NG
authors.lastname: Burke
authors.forename: C
authors.initials: C
authors.lastname: Green
authors.forename: K
authors.initials: K
authors.lastname: Synnott
mesh_terms: D059787:Acute Pain / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods; D020802:Epidural Abscess / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000628:therapy*; D005260:Female; D006615:Hip / Q000473:pathology; D006801:Humans; D008159:Lumbar Vertebrae / Q000473:pathology; D008875:Middle Aged; D011128:Polyradiculopathy / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D016659:Psoas Abscess / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents