Full Endoscopic Removal of Cervical Spinal Epidural Abscess: Case Report and Technical Note

Spinal epidural abscess is a rare disease that is less likely to occur in the cervical region. When it occurs here, cervical spondylodiscitis can develop. Surgical treatment is recommended because of possible life-threatening septic and neurological complications. We present a case of an 81-year-old man who suffered from right side paralysis and was subsequently diagnosed with a C4 to C7 epidural abscess. We utilized full endoscopic surgery for patient management. The traditional surgical methods for treating cervical epidural abscesses may cause spinal instability. There has only been one previous case report on the endoscopic-assisted method. Minimal invasive surgery by a full endoscopic method can be done with a small incision and is associated with minimal blood loss and muscle damage. This is the first report on cervical epidural abscess drainage utilization a full endoscopic method. We recommend this alternative minimally invasive method to manage cervical epidural abscess.

[1]  Jong Hoon Park,et al.  Spinal epidural abscess successfully treated with biportal endoscopic spinal surgery , 2019, Medicine.

[2]  Jin-Sung Kim,et al.  Full Endoscopic Discectomy, Debridement, and Drainage for High-Risk Patients with Spondylodiscitis. , 2019, World neurosurgery.

[3]  A. Mesfin,et al.  Upper Cervical Epidural Abscess in Clinical Practice: Diagnosis and Management , 2015, Global spine journal.

[4]  Leopold Arko,et al.  Medical and surgical management of spinal epidural abscess: a systematic review. , 2014, Neurosurgical focus.

[5]  Y. Tu,et al.  Extended indications of percutaneous endoscopic lavage and drainage for the treatment of lumbar infectious spondylitis , 2014, European Spine Journal.

[6]  K. G. Johnson.  Spinal epidural abscess. , 2013, Critical care nursing clinics of North America.

[7]  L. Palma,et al.  Cervical spine epidural abscess: experience with microsurgical treatment in eight cases. , 2006, Journal of neurosurgery. Spine.

[8]  R. Haaker,et al.  Percutaneous lumbar discectomy in the treatment of lumbar discitis , 2005, European Spine Journal.

[9]  T. Reithmeier,et al.  Spinal epidural abscess: prognostic factors and comparison of different surgical treatment strategies , 2005, Acta Neurochirurgica.

[10]  D. Konstantinou,et al.  Extended Cervicolumbar Spinal Epidural Abscess Associated With Paraparesis Successfully Decompressed Using a Minimally Invasive Technique , 2004, Spine.

[11]  M. Scerrati,et al.  Anterior Cervical Epidural Abscess Treated by Endoscopy-Assisted Minimally Invasive Microsurgery via Posterior Approach , 1998, Minimally invasive neurosurgery : MIN.

[12]  J. Campbell,et al.  The pathogenesis of spinal epidural abscess: microangiographic studies in an experimental model. , 1988, Journal of neurosurgery.