title: Neurological deficit secondary to a pre-sacral abscess with epidural extension up to L3: A case report and literature review.
abstract: Isolated epidural abscesses are uncommon lesions. Surgical treatment may be difficult due to the extension of these lesions. We present a case of a pelvic abscess spreading along the path of the sciatic nerve to the gluteus muscles and the lumbar canal, causing neurological compression; requiring surgical treatment with three simultaneous approaches.
authors.affiliation: Orthopedics Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France. Electronic address: marc.khalife@aphp.fr.
authors.forename: M
authors.initials: M
authors.lastname: Khalifé
authors.affiliation: Clinical Microbiology Unit, Microbiology Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France.
authors.forename: D
authors.initials: D
authors.lastname: Lebeaux
authors.affiliation: Clinical Microbiology Unit, Microbiology Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Mainardi
authors.affiliation: Orthopedics Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Guigui
authors.affiliation: Orthopedics Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Bouyer
mesh_terms: D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging; D000058:Accidental Falls; D000368:Aged; D002081:Buttocks; D020802:Epidural Abscess / Q000150:complications* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011128:Polyradiculopathy / Q000209:etiology*; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D012585:Sciatica / Q000209:etiology*; D014057:Tomography, X-Ray Computed
keywords: Epidural abscess; Pelvic extension; Surgical strategy