Spinal subdural abscess following repeat lumbar microdiscectomy: A case report of imaging findings for a rare infection

Clin Imaging. 2017 Jul-Aug:44:74-78. doi: 10.1016/j.clinimag.2017.04.010. Epub 2017 Apr 27.

Abstract

Spinal subdural abscess is a rare central nervous system infection with just over a hundred cases reported. It is much less common than spinal epidural abscess. While most case reports have focused on route of infection and treatment options, there have not been any reports that focused on the unique MRI findings of spinal subdural abscess. We describe a case of spinal subdural abscess diagnosed by MRI in a 33-year-old male who presented with headaches after undergoing a microdiscectomy procedure, and review the underlying anatomic features of the spinal meninges which produce the appearance of a spinal subdural abscess.

Keywords: Cerebrospinal fluid leak; Spinal meninges; Spinal subdural abscess.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications
  • Abscess / diagnosis*
  • Adult
  • Diskectomy / adverse effects*
  • Empyema, Subdural / complications
  • Empyema, Subdural / diagnosis*
  • Headache / diagnosis
  • Headache / etiology
  • Humans
  • Infections / complications
  • Lumbar Vertebrae / surgery*
  • Magnetic Resonance Imaging / methods
  • Male
  • Meninges / diagnostic imaging
  • Meninges / pathology*
  • Spinal Cord Diseases / complications
  • Spinal Cord Diseases / diagnosis*