PMC6374787_01
There is extensive epidural phlegmon throughout the cervical (c), thoracic (a, d), and lumbar spine (b) with intracranial extension into the posterior fossa beneath the cerebellum (c). There are small pockets of possible early abscess organization within this phlegmon, but no drainable collection is yet present. The phlegmon causes severe cord compression at C7-T1 (c) and T5-T10 (a, d) levels. There is extension inferiorly through the sacral level (b). There is relative increased T2 signal in the anterior and posterior bony elements at the T1-T2 and T6-T8 levels (d).
CRIID2019-7413089.001.jpg
PMC6374787_01_CRIID2019-7413089.001.jpg
fig1
Repeat imaging of the brain and spine at our institution showed extensive epidural phlegmon throughout the cervical, thoracic, and lumbar spine with intracranial expansion into the posterior fossa beneath the cerebellum with pockets of possible early organizing abscess within the phlegmon (Figure 1).