Exequiel Patricio Verdier1,2, Omar Konsol3,4, Santiago Portillo3,4. 1. Equipo de Neurocirugía Pediátrica, Servicio Especializado en Pediatría y Neonatología (SEPyN), Hospital Español, Buenos Aires, Argentina. exequiel.verdier@gmail.com. 2. División de Neurocirugía Pediátrica, Hospital de Niños Dr. Ricardo Gutiérrez, Buenos Aires, Argentina. exequiel.verdier@gmail.com. 3. Equipo de Neurocirugía Pediátrica, Servicio Especializado en Pediatría y Neonatología (SEPyN), Hospital Español, Buenos Aires, Argentina. 4. Servicio de Neurocirugía Pediátrica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Abstract
BACKGROUND: Intramedullary spinal cord abscesses (ISCA) are a rare pathological entity with very few cases reported in the world and may be confused with an intramedullary tumor. Cervical location is the least frequently affected, except for cryptogenic spread, mostly seen in adult patients. Meticulous study of contrast-enhanced MRI pictures has a key role in the diagnosis. METHOD AND RESULTS: We present a case of a spontaneous cervical ISCA, mimicking a spinal cord tumor, in a pediatric patient with good outcome. A review of the literature shows that this is a life-threatening condition with high chances of rupture and subsequent meningitis. CONCLUSIONS: We point out that if a solitary cervical spinal cord lesion is surrounded by significant medullar edema associated with fast onset of symptoms, fever, and elevation of WBC, the possibility of a spinal cord abscess should be considered prior to surgery.
BACKGROUND: Intramedullary spinal cord abscesses (ISCA) are a rare pathological entity with very few cases reported in the world and may be confused with an intramedullary tumor. Cervical location is the least frequently affected, except for cryptogenic spread, mostly seen in adult patients. Meticulous study of contrast-enhanced MRI pictures has a key role in the diagnosis. METHOD AND RESULTS: We present a case of a spontaneous cervical ISCA, mimicking a spinal cord tumor, in a pediatric patient with good outcome. A review of the literature shows that this is a life-threatening condition with high chances of rupture and subsequent meningitis. CONCLUSIONS: We point out that if a solitary cervical spinal cord lesion is surrounded by significant medullar edema associated with fast onset of symptoms, fever, and elevation of WBC, the possibility of a spinal cord abscess should be considered prior to surgery.
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