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Intracranial Epidural Abscess

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Intracranial Epidural Abscess in a 9-Year-Old Boy With Precocious Puberty and Use of Continuous Positive Airway Pressure.

Wendy Edlund, Neil Patel, David DeLone, Suresh Kotagal,

Intracranial extension of rhinosinusitis is rare in children. We report a 9-year-old immunocompetent boy with central precocious puberty and obstructive sleep apnea-hypopnea syndrome who developed an intracranial epidural abscess secondary to rhinosinusitis while on continuous positive airway pressure (CPAP) treatment. A retrospective review of the medical record and imaging studies ... Read more >>

J. Child Neurol. (Journal of child neurology)
[2020, :883073820912047]

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[Acute mastoiditis with intracranial complication in a pediatric patient].

Sara Laliena Aznar, Cayetana Verástegui Martínez, Raquel Bernadó Fonz, Irene Baquedano Lobera, Matilde Bustillo Alonso,

Acute mastoiditis is an infection that affects the mastoid air-cell system, usually due to the progression of an acute otitis media. The bacteria most frequently isolated in acute mastoiditis are Streptococcus pneumoniae, Streptococcus pyogenes and Staphylococcus aureus. The mastoid infection can extend affecting contiguous structures and producing intra or extracranial ... Read more >>

Arch Argent Pediatr (Archivos argentinos de pediatria)
[2020, 118(2):e166-e169]

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Haematogenous Spondylodiscitis in Patients With Liver Cirrhosis: Case Series of 36 Patients.

Hemdan Abdelrahman, Mootaz Shousha, Reza Bahrami, Heinrich Boehm,

STUDY DESIGN:A retrospective study of 36 liver cirrhosis patients presenting with spondylodiscitis. OBJECTIVES:The aim of this study was to analyze the characteristics of spondylodiscitis in the presence of liver cirrhosis and furthermore, to evaluate the outcome of surgery in this specific group of patients. SUMMARY OF BACKGROUND DATA:The incidence of ... Read more >>

Spine (Spine)
[2020, 45(8):E425-E429]

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Molecular diagnosis of polymicrobial brain abscesses with 16S rDNA-based next generation sequencing.

Alexander Stebner, Armin Ensser, Walter Geißdörfer, Yavor Bozhkov, Roland Lang,

OBJECTIVES:Brain abscesses lead to high mortality despite antibiotic and surgical treatment. Identification of causative bacteria is important to guide antibiotic therapy, but culture-based methods and molecular diagnostics by Sanger sequencing of 16S PCR products are hampered by antibiotic treatment and the often polymicrobial nature of brain abscesses. We have applied ... Read more >>

Clin. Microbiol. Infect. (Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases)
[2020, :]

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Spinal Tophi Causing Cord Compression and Mimicking Epidural Abscess in a Young Man With Lesch-Nyhan Variant.

Jean W Liew, Sarah A Struthers, Fionnuala C Cormack, Alison M Bays, Bobby Kwanghoon Han,

J Clin Rheumatol (Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases)
[2020, 26(3):e64]

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MRI findings in Pott's spine and correlating clinical progress with radiological findings.

Usha Kant Misra, Siddharth Warrier, Jayantee Kalita, Sunil Kumar,

PURPOSE:To document magnetic resonance imaging (MRI) changes in Pott's spine and to correlate these with clinical findings and outcome. METHODS:Patients with Pott's spine having more than one set of MRI were included in the study. Patients were grouped according to timing of their second MRI. The MRI findings included changes ... Read more >>

Neuroradiology (Neuroradiology)
[2020, :]

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The Prognostic Value of Laboratory Markers and Ambulatory Function at Presentation for Post-Treatment Morbidity and Mortality Following Epidural Abscess.

Brian C Goh, Marco L Ferrone, Ameen Barghi, Christina Y Liu, Patrick K Cronin, Justin A Blucher, Melvin C Makhni, James D Kang, Andrew J Schoenfeld,

STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To develop a comprehensive understanding of the prognostic value of laboratory markers on morbidity and mortality following epidural abscess. SUMMARY OF BACKGROUND DATA:Spinal epidural abscess is a serious medical condition with high rates of morbidity. The value of laboratory data in forecasting morbidity and mortality after ... Read more >>

Spine (Spine)
[2020, :]

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Assessment of Clinical and Radiological Parameters in Spinal Tuberculosis: Comparison between Human Immunodeficiency Virus-Positive and Human Immunodeficiency Virus-Negative Patients.

Shrikant Shrikrishnarao Sagane, Vishal Supda Patil, Girish Dnyaneshwar Bartakke, Kaustubh Yeshwant Kale,

Study Design:Prospective comparative study. Purpose:A prospective comparative analysis of 30 patients with spinal tuberculosis (15 human immunodeficiency viruses [HIV] positive and 15 HIV negative). We compared the clinical and radiological parameters of the two groups. Overview of Literature:With the increasing incidence of HIV and tuberculosis co-infection, spinal tuberculosis is increasing ... Read more >>

Asian Spine J (Asian spine journal)
[2020, :]

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Should the Presence of Spondylodiscitis Alter the Surgical Treatment of Patients with Symptomatic Ventral Cervical Epidural Abscesses? An Institutional Analysiss.

Daniel A Tonetti, Bradley Eichar, William J Ares, Adam S Kanter, David Kojo Hamilton,

BACKGROUND:Spinal epidural abscess is a rare pathology with an incidence that has tripled in the past 2 decades. Ventral cervical epidural abscesses (vCEA) of the cervical spine pose particular treatment challenges because of the anatomical location. The aim of this report is to identify trends in the surgical management of ... Read more >>

World Neurosurg (World neurosurgery)
[2020, :]

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Open Reduction and Decompression of Atlantoaxial Subluxation with Basilar Impression Due to Grisel Syndrome Using the Cervical Management Base Unit.

Timothy Chryssikos, Nathan Pratt, Benjamin Howie, Harry Mushlin, Charles Sansur,

BACKGROUND:Intraoperative manipulation of the craniocervical junction with the Cervical Management Base Unit (CMBU) has been used as an adjunct for achieving optimal anatomic alignment during instrumented fusion procedures in a variety of disease settings. Here, we present our experience using the CMBU as a supplement to achieving a successful reduction ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 138:129-136]

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Full-Endoscopic Removal of Sheared Lumbar Epidural Catheter Fragment.

Naveen Davangere Siddappa, Jin-Sung Kim, Ashwinkumar Vasant Khandge,

BACKGROUND:An epidural nerve block injection is the most common modality of treatment for control of low backache associated with radiating pain. Epidural catheter injections are also widely used by pain physicians to control cancer pain. Epidural catheters could be associated with procedure-related complications, such as epidural hematoma, epidural abscess, and ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 137:421-424]

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Time-to-completed-imaging, survival and function in patients with spinal epidural abscess: Description of a series of 34 patients, 2015-2018.

Caroline King, Cameron Fisher, Patrick C M Brown, Kelsey C Priest, Mary Tanski, Peter Sullivan,

INTRODUCTION:Spinal epidural abscess (SEA) is a rare and life-threatening infection with increasing incidence over the past two decades. Delays in diagnosis can cause significant morbidity and mortality among patients. OBJECTIVE:The objective of this study was to describe trends in time-to-imaging and intervention, risk factors, and outcomes among patients presenting to ... Read more >>

BMC Health Serv Res (BMC health services research)
[2020, 20(1):119]

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Spinal epidural abscess secondary to gram-negative bacteria: case report and literature review.

Eric D Van Baarsel, Yazeed Kesbeh, Huthayfa A Kahf, Vandan Patel, Bruce Weng, Made Sutjita,

Bacterial spinal epidural abscess (SEA) is a rare suppurative infection that commonly presents with nonspecific symptoms along with the infrequent triad of fever, back pain, and neurological deficits. Risk factors include diabetes mellitus, intravenous drug use, degenerative disc disease, infection with human immunodeficiency virus, and recent trauma or surgery. Patients ... Read more >>

J Community Hosp Intern Med Perspect (Journal of community hospital internal medicine perspectives)
[2020, 10(1):60-64]

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Failure to extubate and delayed reintubation in elective lumbar fusion: An analysis of 57,677 cases.

Yaroslav Gelfand, Michael Longo, Rafael De la Garza Ramos, Zachary T Sharfman, Murray Echt, Mousa Hamad, Merritt Kinon, Reza Yassari, David C Kramer,

OBJECTIVES:There is a scarcity of literature exploring the consequences of Failure To Extubate (FTE) and Delayed Reintubation (DRI) in spine surgery. While it is reasonable to believe that patients who FTE or undergo DRI after Posterior Lumbar Fusion (PLF) and Transforaminal Lumbar Interbody Fusion (TLIF) are at risk for graver ... Read more >>

Clin Neurol Neurosurg (Clinical neurology and neurosurgery)
[2020, 193:105771]

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Organic Lesions in the Brain MRI of Children with Febrile Seizure.

Alireza Nezami, Fariba Tarhani, Negin Koochak Shoshtari,

OBJECTIVE:Seizure is the most common neurological disorders in children, where, 4-10% cases experience at least one seizure before the age of 16. The most frequent causes of seizures in children are fever, epilepsy, infection and brain damage. The aim of this study was to investigate the frequency of organic lesions ... Read more >>

Curr Med Imaging (Current medical imaging)
[2020, :]

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Injection Drug Use in Patients with Spinal Epidural Abscess: Nationwide Data, 2000-2013.

Alexander J Toppo, Ashley Rogerson, David H W Oh, David J Tybor, Alysse G Wurcel, Matthew J Salzler,

STUDY DESIGN:Retrospective review of the Healthcare Cost and Utilization Project National Inpatient Sample, 2000-2013. OBJECTIVE:To determine the proportion of spinal epidural abscess (SEA) cases that were related to injection drug use (IDU) and to compare length of stay, leaving against medical advice, paralysis, cauda equina syndrome, radiculitis, and in-hospital mortality ... Read more >>

Spine (Spine)
[2020, :]

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Stenotrophomonas maltophilia spondylodiscitis following lumbar microdiscectomy mimicking a cotton granuloma: A case report and literature review.

Nitin Maruti Adsul, Vishnu Panigrahi, Shankar Acharya, K L Kalra, R S Chahal,

Background:Vertebral osteomyelitis caused by Stenotrophomonas maltophilia is very rare. There are only two cases reported in literature. Here, we present a 48-year-old immunocompetent male who, following a lumbar microdiscectomy, developed postoperative spondylodiscitis due to S. maltophilia that mimicked a cotton granuloma. Case Report:Two months ago, a 48-year-old male underwent a ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2020, 11:28]

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The Emergent Evaluation and Treatment of Neck and Back Pain.

Brian N Corwell, Natalie L Davis,

Neck and back pain are among the most common symptom-related complaints for visits to the emergency department (ED). They contribute to high levels of lost work days, disability, and health care use. The goal of ED assessment of patients with neck and back pain is to evaluate for potentially dangerous ... Read more >>

Emerg. Med. Clin. North Am. (Emergency medicine clinics of North America)
[2020, 38(1):167-191]

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Risk Management and Avoiding Legal Pitfalls in the Emergency Treatment of High-Risk Orthopedic Injuries.

Michael C Bond, George C Willis,

Many orthopedic injuries can have hidden risks that result in increased liability for the emergency medicine practitioner. It is imperative that emergency medicine practitioners consider the diagnoses of compartment syndrome, high-pressure injury, spinal epidural abscess, and tendon lacerations in the right patient. Consideration of the diagnosis and prompt referrals can ... Read more >>

Emerg. Med. Clin. North Am. (Emergency medicine clinics of North America)
[2020, 38(1):193-206]

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Successful treatment of extensive spinal epidural abscess with fluoroscopy-guided percutaneous drainage: a case report.

Masashi Fujii, Tsutomu Shirakawa, Nobuaki Shime, Yasuyo Kawabata,

BACKGROUND:Surgical drainage and antimicrobial therapy are the most accepted empirical treatments for spinal epidural abscess. However, surgery may not be indicated when patient's general health condition is poor. Percutaneous drainage has been reported as a non-surgical treatment for children or patients with no or minor neurological deficits. Here we describe ... Read more >>

JA Clin Rep (JA clinical reports)
[2020, 6(1):4]

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Endoscopic management of bilateral frontal mucopyoceles: A Case Report and Literature review.

Zainab Alhassan, Fadel Molani, Ali Almomen,

OBJECTIVE:To demonstrate the effectiveness of the endonasal endoscopic approach in managing a large bilateral frontal mucopyocele causing a mass effect on the brain. CASE PRESENTATION:A 17 year old chronic sinusitis patient, presented with bilateral nasal obstruction and increasing left sided headache; was found to have a very large bilateral frontal ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2020, 68:208-213]

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Trauma Induced Calcium Pyrophosphate Deposition Disease of the Lumbar Spine.

Indrit Greca, Jihad Ben Gabr, Andras Perl, Stephanie Bryant, Dan Zaccarini,

Inflammatory arthritis, such as pseudogout or otherwise referred to as calcium pyrophosphate (CPP) crystal arthritis or calcium pyrophosphate deposition (CPPD) disease, is characterized by the deposition of crystal formation and deposition in large joints. CPPD is known to affect the elderly population and commonly manifests as inflammation of knees, hips, ... Read more >>

Case Rep Rheumatol (Case reports in rheumatology)
[2020, 2020:3218350]

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A rare case of Spinal Epidural Abscess following mesotherapy: a challenging diagnosis and the importance of clinical risk management. Considerations concerning uncommon risk factor for development of Spinal Epidural Abscess and its prevention.

A Maiese, G Volonnino, R V Viola, E Nelson Cavallari, V Fazio, M Arcangeli, R La Russa,

Spinal Epidural Abscess (SEA) is a rare pyogenic infection localized between dura mater and vertebral periostium. The development of SEA is associated with the presence of medical co-morbidities and risk factors that facilitate bacterial dissemination. It is possible distinguish two type of SEA: primary SEA due to pathogen hematogenous dissemination ... Read more >>

Clin Ter (La Clinica terapeutica)
[2020, 170(1):e15-e18]

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A Rare Case of Thoracic Pyogenic Facet Joint Infection.

Tomoyuki Setoue, Jun-Ichiro Nakamura,

Pyogenic facet joint infection is a rare but severe infection. The most common complaint on presentation is pain followed by fever, then neurologic impairment. While the lumbar spine is involved in the vast majority of cases presented in the literature, the case presented here occurred in the thoracic spine. The ... Read more >>

Case Rep Orthop (Case reports in orthopedics)
[2019, 2019:8252986]

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Break up the band: Laparoscopic Adjustable Gastric Banding-associated Discitis and Osteomyelitis.

Scott Meester, Christopher Hogrefe,

Obesity is an epidemic that adversely affects millions of Americans. In 2017, the Center for Disease Control and Prevention reported that 93.3 million Americans suffer from obesity.1 Many individuals have undergone laparoscopic adjustable gastric banding (LAGB) procedures in order to lose weight. The procedure is thought to be safe with ... Read more >>

Clin Pract Cases Emerg Med (Clinical practice and cases in emergency medicine)
[2020, 4(1):72-74]

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