stroke-cns-2018-scientifictracks

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I n t e r n a t i o n a l C o n f e r e n c e o n

Neurological Disorders,

Stroke and CNS

October 22-23 , 2018

Athens , Greece

Journal of Neurology and Neuroscience

ISSN: 2171-6625

Stroke and CNS 2018

Background:

Spinal epidural abscess is very annoying problem, which needs

an immediate medical attention. Its presence within the cervical spine is life

threating issue because of the vital functions that can be compromised as a result

from just the compression effect. So the concept of the bony decompression is

essential in such cases.

Aim:

To describe a rare presentation of spinal epidural abscess, a case report of

an extensive epidural abscess within the cervical spinal region.

Results:

Case report of cervical epidural abscess in 56 year old male fromRosetta

complained of acute onset of neck pain for about 2 months, with progressive

course of upper and lower limbs weakness and with no sphincter affection.

Patient has not undergone any neck and back surgery previously. Patient has a

history of renal impairment and on medical treatment for about 4 years. Magnetic

Resonance imaging of the cervical spine, showed ventral cervical spinal cord

compression by an epidural abscess extending from the apex of dens to the level

of C5. Surgical intervention via anterior approach and corpectomy of the C4 and

C5, iliac crest graft with plate and screws fixation was done. About 3 months

after surgery, the patient markedly improved and was able to perform the usual

lifestyle activities.

Conclusion:

Diagnosing patient with epidural abscess within the cervical spine is

somewhat a difficult suspecting issue in patient with no history of chronic illness

nor previous spine surgery. Evacuation of the abscess and corpectomy of the

friable pathological levels, fusion with iliac crest graft and fixation with plate and

screws was a suitable option in management of this case.

Biography

Mohamed Gohary is working as Neurosurgery MD at

Alexandria University and Consultant of Neurosurgery. Also

Member in NAAS. Member in ESA and Member in ENS.

Extensive cervical epidural abscess: case report

Mohamed E Elsebaey and Mohamed Elgohary

Damanhour Medical National Institute, Egypt

Mohamed E Elsebaey et al., J Neurol Neurosci 2018, Volume: 9

DOI: 10.21767/2171-6625-C3-014