General Medicine
Online ISSN : 1883-6011
Print ISSN : 1346-0072
ISSN-L : 1346-0072
Case Report
Upper Extremity Paralysis Caused by an Internal Spinal Epidural Abscess that was not Identified on Imaging
Hisashi NishisakoHiraku EndouYukitaka YamasakiTakaaki NemotoShinichi NakayaTakahide Matsuda
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JOURNAL FREE ACCESS

2013 Volume 14 Issue 1 Pages 57-60

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Abstract

We report the case of a 63-year-old male with diabetes who was diagnosed with staphylococcal bacteremia. Paralysis of the extremities (right upper, left lower) and bladder and bowel dysfunction developed 5 days after treatment initiation. Spinal magnetic resonance imaging revealed a spinal epidural abscess at the L4/5 level. Despite right upper extremity palsy, there was no visible cervical spine abscess. Emergency surgery was undertaken, which resulted in complete neurological recovery. General physicians must be aware that damage to the spinal cord can be caused not only by direct compression of an epidural abscess but also by impaired blood circulation or inflammation.

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© 2013 Japan Primary Care Association
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