Abstract
The history of a patient with neurological deficit symptoms secondary to a spinal epidural abscess connected with psoas abscess and several fistulas on the buttocks is described. Etiology, diagnosis, and treatment are discussed. Percutaneous drainage of the spinal epidural abscess is suggested as an alternative to surgery.
Get full access to this article
View all access options for this article.
References
1.
Baker
A. S.
Ojemann
R. G.
Swartz
M.
Richardson
E. P.
Jr
: Spinal epidural abscess . N. Engl. J. Med.
293 (1975 ), 463 .
2.
Bevans
D. W.
Westbrook
K. C.
Thompson
B. W.
Caldwell
F. T.
: Perirectal abscess. A potentially fatal illness . Am. J. Surg.
126 (1973 ), 765 .
3.
Donovan
M. J.
Quencer
R. M.
Montalvo
B. M.
Katz
B. H.
Eismont
F. J.
Green
B. A.
: Spinal infection evaluation with MR imaging and intraoperative US . Radiology
169 (1988 ), 765 .
4.
Feldberg
M. A. M.
Koehler
P. R.
van Waes
P. F. G. M.
: Psoas compartment disease studied by computer tomography . Radiology
148 (1983 ), 505 .
5.
Hårdstedt
C.
Vucetic
N.
: Lumbosacral epidurography and computed tomography. A preliminary report . Acta Radiol. Diagnosis
27 (1986 ), 173 .
6.
Hoffer
F. A.
Shamberger
R. C.
Teele
R. L.
: Ilio-psoas abscess. Diagnosis and management . Pediatr. Radiol.
17 (1987 ), 23 .
7.
Larson
D. C.
Nguyen
D. L.
Raftery
R. G.
Leonard
J. C.
: Iliopsoas abscess in an immunocompromised patient . Clin. Nucl. Med.
13 (1988 ), 682 .
8.
Leys
D.
Leosin
F.
Viaud
C.
: Decreased morbidity from acute bacterial spinal epidural abscesses using computed tomography and nonsurgical treatment in selected patients . Ann. Neurol.
17 (1985 ), 350 .
9.
Llauger
J.
Pérez
C.
Andreu
J.
Palmer
J.
: Psoas abscess demonstrated by CT as the first evidence of carcinoma of the colon . Comput. Radiol.
11 (1987 ), 259 .
10.
Millward
S. F.
Ramsewak
W.
Fitzsimons
P.
Frost
R.
Tam
P.
Toi
A.
: Percutaneous drainage of iliopsoas abscess in Crohn's disease . Gastrointest. Radiol.
11 (1986 ), 289 .
11.
Mueller
P. R.
Ferucci
J. T.
Jr
Wittenberg
J.
Simeone
J. F.
Butch
R. J.
: Iliopsoas abscess. Treatment by CT-guided percutaneous catheter drainage . AJR
142 (1983 ), 359 .
12.
O'Sullivan
R.
McKenzie
A.
Hennessy
O.
: Value of CT scanning in assessing location and extent of epidural and paraspinal inflammatory conditions . Australas. Radiol.
32 (1988 ), 203 .
13.
Phillips
G. E.
Jefferson
A.
: Acute spinal epidural abscess. Observations from fourteen cases . Postgrad. Med. J.
55 (1979 ), 712 .
14.
Ramanujam
P. S.
Prasad
M. L.
Abcarian
H.
Tan
A. B.
: Perineal abscesses and fistulas. A study of 1 023 patients . Dis. Colon Rectum
27 (1984 ), 593 .
15.
Schmutzhard
E.
Aichner
F.
Dierckx
R.
Gerstenbrand
F.
Willeit
J.
: New perspectives in acute spinal epidural abscess. Illustrated by two case reports . Acta Neurochir.
80 (1986 ), 105 .
16.
Stephanides
G. C.
Gibson
R. M.
: Missed diagnosis. Paraplegia caused by spinal epidural abscess . Postgrad. Med. J.
64 (1984 ), 603 .
17.
Van Dyke
J. A.
Holley
H. C.
Anderson
S. D.
: Review of iliopsoas anatomy and pathology . Radiographics
7 (1987 ), 53 .