Neurological deficit secondary to a pre-sacral abscess with epidural extension up to L3: A case report and literature review

M Khalifé; D Lebeaux; J-L Mainardi; P Guigui; B Bouyer

doi:10.1016/j.otsr.2016.10.002

Neurological deficit secondary to a pre-sacral abscess with epidural extension up to L3: A case report and literature review

Orthop Traumatol Surg Res. 2017 Feb;103(1):133-135. doi: 10.1016/j.otsr.2016.10.002. Epub 2016 Dec 12.

Authors

M Khalifé¹, D Lebeaux², J-L Mainardi², P Guigui³, B Bouyer³

Affiliations

¹ Orthopedics Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France. Electronic address: [email protected].
² Clinical Microbiology Unit, Microbiology Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France.
³ Orthopedics Department, Georges Pompidou European Hospital, 75015 Paris, France; Paris-Descartes University, 75006 Paris, France.

PMID: 27979742
DOI: 10.1016/j.otsr.2016.10.002

Abstract

Isolated epidural abscesses are uncommon lesions. Surgical treatment may be difficult due to the extension of these lesions. We present a case of a pelvic abscess spreading along the path of the sciatic nerve to the gluteus muscles and the lumbar canal, causing neurological compression; requiring surgical treatment with three simultaneous approaches.

Keywords: Epidural abscess; Pelvic extension; Surgical strategy.

Publication types

Case Reports
Review

MeSH terms

Abscess / complications*
Abscess / diagnostic imaging
Accidental Falls
Aged
Buttocks
Epidural Abscess / complications*
Epidural Abscess / diagnostic imaging
Female
Humans
Magnetic Resonance Imaging
Polyradiculopathy / etiology*
Retroperitoneal Space / diagnostic imaging
Sciatica / etiology*
Tomography, X-Ray Computed