"Epidemiology "
"Clinical presentation "
"Pathology "
"History and etymology "
"Differential diagnosis "
"The first description of a spinal cord abscess was by the Irish surgeon John Hart in 1830 8,12."
"The first description of a spinal cord abscess was by the Irish surgeon John Hart in 1830 8,12."
Expected headings
"Epidemiology "
"Clinical presentation "
"Pathology "
"Radiologic features"
"MRI"
"Signal characteristics"
"History and etymology "
"Differential diagnosis "
"Spinal cord abscesses most commonly occur in the thoracic cord 9. There is a bimodal age distribution, with the majority of reported cases affecting individuals younger than 25 years or older than 50 years 2. Males are more commonly affected 9."
"Spinal cord abscesses typically develop in patients with systemic conditions predisposing to infection, such as immunosuppression and diabetes mellitus. Other predisposing factors include intravenous drug use, previous surgical history (e.g. spinal surgery, dural puncture), meningitis, congenital midline defects (e.g. myelomeningocele), anatomical abnormalities of the spinal cord, and infective endocarditis 9. Presence of congenital midline defects as a predisposing factor is mainly seen in paediatric patients 9."
"The most common organisms responsible for spinal cord abscesses are Staphylococcus spp. and Streptococcus spp. 9. However, other organisms such as Mycobacterium tuberculosis, Escherichia coli, Proteus spp., Listeria spp., Bacteroides spp., and Pseudomonas spp. can also be involved 4. Fungi and toxoplasmosis can also be implicated 9."
"Importantly, concurrent or contiguous central nervous system infection occurs in one-third of cases, with brain abscess being the most common (~20%) concurrent pathology, whilst epidural and subdural abscesses are rare (~5%) 9."