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Journal of Pediatric Neurology 2011; 09(03): 369-372
DOI: 10.3233/JPN-2011-0489
Georg Thieme Verlag KG Stuttgart – New York

Intramedullary abscess extending to the cauda equina with paraplegia in a 6-month-old infant

Dinesh K. Rajput
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Arun K. Srivastav
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Ravi K. Tiwari
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Priyanka Kawal
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Raj Kumar
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
,
Ashok K. Mahapatra
a   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
› Author Affiliations
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Publication History

15 November 2009

08 June 2010

Publication Date:
30 July 2015 (online)

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Abstract

Intramedullary spinal cord abscesses are uncommon lesions. Forty percent of all such abscesses occur before 20 yr of age. Patients with acute onset of symptoms and signs have a graver prognosis. This generally occurs in the setting of systemic bacteremia. A case of large intramedullary spinal cord abscess extending up to the terminal spinal canal in a 6-month-old male baby who developed flaccid paraplegia without an evidence of systemic infection or septicemia or anatomical defect is reported. The possibility of infection of an epidermoid in such cases cannot ruled out.

Keywords

Intramedullary - infections - abscess - lesions