case_images: PMC6826316_01
case_images: Mid-sagittal T2-weighted MRI images of the cervical (a), thoracic (b), and lumbar (c) spine with contrast showing an epidural collection extending from C5/C6 to L4/L5 vertebrae with mass effect on spinal cord at levels of the C6 and T4 vertebrae.
case_images: SNI-10-204-g001.jpg
case_images: PMC6826316_01_SNI-10-204-g001.jpg
case_images: F1
case_images: The patient underwent an MRI of the entire spine with and without contrast; it showed an epidural collection consistent with an epidural abscess extending from C5/C6 all the way to L4/L5 level, accompanied by maximal cord compression at C6 and T4 [Figures 1a-c].
case_images: Computer tomography scans showing the left ipsi-/contra-lateral laminectomy at C5-6 level (a,b), left T5 ipsi/contra laminectomy (c,d), right T8 ipsi/contra laminectomy (e,f), left T11 ipsi-contra laminectomy (g), L4,L5 laminectomies (h).
case_images: SNI-10-204-g002.jpg
case_images: PMC6826316_01_SNI-10-204-g002.jpg
case_images: F2
case_images: C6, C7, T2, T3, T5, T6, T8, T9, T10, and T12 levels); complete laminectomies were performed at L3, L4, and L5 [Figures 2a-h]. Cultures were obtained intraoperatively.
case_images: Postoperative mid-sagittal T2-weighted magnetic resonance imaging images of the cervicothoracic junction (a) and lumbar (b) spine with contrast showing complete resolution of the epidural collection.
case_images: SNI-10-204-g003.jpg
case_images: PMC6826316_01_SNI-10-204-g003.jpg
case_images: F3
case_images: HEA [Figures 3a and b]. His postoperative course was uneventful, and 18 months later, he had fully recovered.