Spinal epidural abscess following glossectomy and neck dissection: A case report

International Journal of Surgery Case Reports
Esther ChengRichard Borrowdale

Abstract

Spinal epidural abscess is an uncommon but potentially life threatening entity that rarely occurs after otolaryngology procedures. We report a case of a diabetic patient who presented with a lumbar spinal epidural abscess eight days after head and neck oncologic surgery. Magnetic resonance imaging revealed an L4 spinal epidural abscess. Cultures from the spinal epidural abscess, blood, urine, and the previous neck incision grew Klebsiella pneumoniae. The patient recovered neurologic function after surgical decompression and drainage, long-term intravenous antibiotics, and physical therapy. The development of postoperative spinal epidural abscess is rare after otolaryngology procedures but has been reported in the cervical epidural space. To our knowledge, lumbar spinal epidural abscess has not yet been reported after head and neck oncologic surgery. Even more unique is the presence of the pathogen K. pneumoniae. A high index of suspicion of this potential outcome is paramount as early recognition and intervention are keys to recovery of neurologic function.

References

Sep 14, 1975·The New England Journal of Medicine·A S BakerE P Richardson
Sep 16, 1991·The American Journal of Medicine·D R SchabergR P Gaynes
Nov 1, 1996·Neurosurgery·R K KhannaM L Rosenblum
Jan 12, 2001·Neurosurgical Review·E ReihsausW Seeling
Jul 26, 2002·Clinical Neurology and Neurosurgery·Cheng-Hsien LuHsueh-Wen Chang
Mar 18, 2005·Head & Neck·Dale C EkbomCarol R Bradford
Nov 10, 2006·The New England Journal of Medicine·Rabih O Darouiche
Oct 3, 2007·The Laryngoscope·Joseph M CurryJoseph R Spiegel

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Methods Mentioned

BETA
dissection
ESR

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