Discover the remarkable journey of a patient’s full recovery from paraplegia caused by a thoracic epidural abscess, challenging the boundaries of functional neurosurgery and offering new hope for those facing similar diagnoses.
– by James
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A rare case of full recovery following delayed presentation of paraplegia secondary to thoracic epidural abscess: A case report and review of the literature.
Adebola et al., Surg Neurol Int 2023
DOI: 10.25259/SNI_736_2023
Importance: This case report highlights the critical need for early detection and treatment of thoracic epidural abscesses, which are frequently misdiagnosed as respiratory infections, to prevent severe outcomes such as paralysis.
New Information: A 39-year-old female initially treated for chest pain as a respiratory tract infection developed paraplegia and urinary retention. Diagnosis was delayed until severe symptoms prompted further investigation.
Results: MRI revealed a T3-T7 spinal epidural abscess causing cord compression. Laboratory results showed elevated white blood cell count (11.03 × 109/L) and C-reactive protein (122 mg/dL). Post-surgical intervention (T3-T7 laminectomy and evacuation), the patient fully recovered.
Contribution to Literature: This case underscores the necessity for healthcare professionals to consider thoracic epidural abscess in differential diagnosis when patients present with non-specific thoracic symptoms to avoid catastrophic outcomes.