case_images: PMC10787145_01
case_images: Axial T2-weighted MRI. The image demonstrates an intradural-extradural spinal epidural abscess in the dorsal region at the T1 level, with ventral displacement of the spinal cord (arrows). MRI: magnetic resonance imaging
case_images: cureus-0016-00000052189-i01.jpg
case_images: PMC10787145_01_cureus-0016-00000052189-i01.jpg
case_images: FIG1
case_images: Hyperintensity in T2 was observed, suggestive of myelitis from T4 to T11 (Figures 1-4).
case_images: Sagittal T1-weighted MRI. The image demonstrates a poorly defined and heterogeneous cervicothoracic spinal epidural abscess at C6-T10. There are hypointense and isointense images in the posterior region of the spinal canal. MRI: magnetic resonance imaging
case_images: cureus-0016-00000052189-i02.jpg
case_images: PMC10787145_01_cureus-0016-00000052189-i02.jpg
case_images: FIG2
case_images: Hyperintensity in T2 was observed, suggestive of myelitis from T4 to T11 (Figures 1-4).
case_images: Sagittal T2-weighted MRI. The image showing a cervicothoracic spinal epidural abscess at C6-T10 and hyperintense intramedullary images corresponding to areas of myelitis. MRI: magnetic resonance imaging
case_images: cureus-0016-00000052189-i03.jpg
case_images: PMC10787145_01_cureus-0016-00000052189-i03.jpg
case_images: FIG3
case_images: Hyperintensity in T2 was observed, suggestive of myelitis from T4 to T11 (Figures 1-4).
case_images: Sagittal T1-weighted MRI with gadolinium administration. The image shows a heterogenous cervicothoracic spinal epidural abscess at C6-T10 with hypointense and isointense images in the posterior region of the spinal canal and hyperintense linear enhancement, predominantly in the ventral region (arrows). MRI: magnetic resonance imaging
case_images: cureus-0016-00000052189-i04.jpg
case_images: PMC10787145_01_cureus-0016-00000052189-i04.jpg
case_images: FIG4
case_images: Hyperintensity in T2 was observed, suggestive of myelitis from T4 to T11 (Figures 1-4).
case_images: Transsurgical photo. The image shows purulent material in the left paravertebral muscle at the T4-T5 level, with a fistulous tract entering the epidural space between the laminae of T4 and T5 through a spontaneous dural orifice
case_images: cureus-0016-00000052189-i05.jpg
case_images: PMC10787145_01_cureus-0016-00000052189-i05.jpg
case_images: FIG5
case_images: During the neurosurgical procedure, an abscess was observed in the left paravertebral muscle at the T4-T5 level, with a fistulous tract entering the epidural cavity between the laminae of T4 and T5 through a spontaneous dural hole (Figure 5).