PMC6826316_01
Mid-sagittal T2-weighted MRI images of the cervical (a), thoracic (b), and lumbar (c) spine with contrast showing an epidural collection extending from C5/C6 to L4/L5 vertebrae with mass effect on spinal cord at levels of the C6 and T4 vertebrae.
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F1
The patient underwent an MRI of the entire spine with and without contrast; it showed an epidural collection consistent with an epidural abscess extending from C5/C6 all the way to L4/L5 level, accompanied by maximal cord compression at C6 and T4 [Figures 1a-c].
Computer tomography scans showing the left ipsi-/contra-lateral laminectomy at C5-6 level (a,b), left T5 ipsi/contra laminectomy (c,d), right T8 ipsi/contra laminectomy (e,f), left T11 ipsi-contra laminectomy (g), L4,L5 laminectomies (h).
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F2
C6, C7, T2, T3, T5, T6, T8, T9, T10, and T12 levels); complete laminectomies were performed at L3, L4, and L5 [Figures 2a-h]. Cultures were obtained intraoperatively.
Postoperative mid-sagittal T2-weighted magnetic resonance imaging images of the cervicothoracic junction (a) and lumbar (b) spine with contrast showing complete resolution of the epidural collection.
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F3
HEA [Figures 3a and b]. His postoperative course was uneventful, and 18 months later, he had fully recovered.