PMID: 20647654Jul 22, 2010Paper

Cervical epidural abscess presenting with Brown-Sequard syndrome in a patient with type 2 diabetes

Internal Medicine
Yoshikazu TamoriMasaharu Tsutsumi

Abstract

An 80-year-old woman with type 2 diabetes was admitted due to right-handed muscle weakness. The patient presented with Brown-Sequard syndrome, with complete paralysis of the right lower limb along with a loss of pain and temperature sensations in the left lower limb. Magnetic resonance imaging revealed a cervical epidural abscess, and accompanying edema or inflammation of the right side of the spinal cord at the C5 level. She underwent drainage and evacuation of the spinal abscess, followed by intravenous antibiotic administration. These interventions ameliorated the neurological deficits. The present case suggests the importance of epidural abscess as a rare pathogenetic cause of Brown-Sequard syndrome in type 2 diabetes.

References

Oct 1, 1977·Journal of Neurosurgery·B JabbariD M Echols
Sep 14, 1975·The New England Journal of Medicine·A S BakerE P Richardson
Sep 1, 1992·Surgical Neurology·E S NussbaumW L Robinson
Aug 1, 1990·Neurosurgery·M L HlavinE Ganz
Aug 1, 1990·Neurosurgery·O Del CurlingJ M McWhorter
Nov 1, 1996·Neurosurgery·R K KhannaM L Rosenblum
Apr 6, 2005·Surgical Neurology·William T CurryEmad N Eskandar
Sep 9, 2006·Diabetes/metabolism Research and Reviews·Anton Y PelegTimothy M E Davis
Nov 10, 2006·The New England Journal of Medicine·Rabih O Darouiche
Nov 6, 2007·QJM : Monthly Journal of the Association of Physicians·P SendiW Zimmerli
Dec 2, 1948·The New England Journal of Medicine·A P HEUSNER

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Citations

Jan 22, 2014·Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición·Ivana ZubillagaLuis Masmiquel

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