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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Intramedullary spinal cord abscess (ISCA)
Definitions
- Infection of spinal cord with necrosis
- Pyogenic infection most common
- Infection of spinal cord with necrosis
IMAGING
General Features
CT Findings
MR Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Bevan R et al: Infected congenital cervical dermal sinuses leading to spinal cord abscess: two case reports and a review of the literature. Childs Nerv Syst. ePub, 2020
- Verdier EP et al: Intramedullary cervical abscess mimicking a spinal cord tumor in a 10-year-old girl: a case-based review. Childs Nerv Syst. 34(11):2143-7, 2018
- Bakhsheshian J et al: Intramedullary cervical spinal cord abscess. World Neurosurg. 106:1049.e1-2, 2017
- Vo DT et al: Streptococcus pneumoniae meningitis complicated by an intramedullary abscess: a case report and review of the literature. J Med Case Rep. 10(1):290, 2016
- Kanaheswari Y et al: Intramedullary spinal cord abscess: the result of a missed congenital dermal sinus. J Paediatr Child Health. 51(2):223-5, 2015
- Al Barbarawi M et al: Management of intramedullary spinal cord abscess: experience with four cases, pathophysiology and outcomes. Eur Spine J. 18(5):710-7, 2009
- Ebner FH et al: Intramedullary lesions of the conus medullaris: differential diagnosis and surgical management. Neurosurg Rev. 32(3):287-300; discussion 300-1, 2009
- Gerlach R et al: Large intramedullary abscess of the spinal cord associated with an epidermoid cyst without dermal sinus. Case report. J Neurosurg Spine. 7(3):357-61, 2007
- Berger JR et al: Infectious myelopathies. Semin Neurol. 22(2): 133-42, 2002
- Chidambaram B et al: Intramedullary abscess of the spinal cord. Pediatr Neurosurg. 34(1): 43-4, 2001
- Durmaz R et al: Multiple nocardial abscesses of cerebrum, cerebellum and spinal cord, causing quadriplegia. Clin Neurol Neurosurg. 103(1): 59-62, 2001
- Elmac I et al: Cervical spinal cord intramedullary abscess. Case report. J Neurosurg Sci. 45(4): 213-5; discussion 215, 2001
- Krishnan A et al: Craniovertebral junction tuberculosis: a review of 29 cases. J Comput Assist Tomogr. 25(2): 171-6, 2001
- Rossi FH et al: Listeria spinal cord abscess responsive to trimethoprim-sulfamethoxazole monotherapy. Can J Neurol Sci. 28(4): 354-6, 2001
- Ruiz A et al: MR imaging of infections of the cervical spine. Magn Reson Imaging Clin N Am. 8(3): 561-80, 2000
- Desai KI et al: Holocord intramedullary abscess: an unusual case with review of literature. Spinal Cord. 37(12): 866-70, 1999
- Mukunda BN et al: Solitary spinal intramedullary abscess caused by Nocardia asteroides. South Med J. 92(12): 1223-4, 1999
- Chan CT et al: Intramedullary abscess of the spinal cord in the antibiotic era: clinical features, microbial etiologies, trends in pathogenesis, and outcomes. Clin Infect Dis. 27(3): 619-26, 1998
- Derkinderen P et al: Intramedullary spinal cord abscess associated with cervical spondylodiskitis and epidural abscess. Scand J Infect Dis. 30(6): 618-9, 1998
- Murphy KJ et al: Spinal cord infection: myelitis and abscess formation. AJNR Am J Neuroradiol. 19(2): 341-8, 1998
- Sverzut JM et al: Spinal cord abscess in a heroin addict: case report. Neuroradiology. 40(7): 455-8, 1998
- Friess HM et al: MR of staphylococcal myelitis of the cervical spinal cord. AJNR Am J Neuroradiol. 18(3): 455-8, 1997
- Banuelos AF et al: Central nervous system abscesses due to Coccidioides species. Clin Infect Dis. 22(2): 240-50, 1996
- Chu JY et al: Listeria spinal cord abscess--clinical and MRI findings. Can J Neurol Sci. 23(3): 220-3, 1996
- Martin RJ et al: Neurosurgical care of spinal epidural, subdural, and intramedullary abscesses and arachnoiditis. Orthop Clin North Am. 27(1): 125-36, 1996
- Bartels RH et al: Intramedullary spinal cord abscess. A case report. Spine. 20(10): 1199-204, 1995
- Lindner A et al: Magnetic resonance image findings of spinal intramedullary abscess caused by Candida albicans: case report. Neurosurgery. 36(2): 411-2, 1995
- Pfadenhauer K et al: Spinal manifestation of neurolisteriosis. J Neurol. 242(3): 153-6, 1995
- King SJ et al: MRI of an abscess of the cervical spinal cord in a case of Listeria meningoencephalomyelitis. Neuroradiology. 35(7): 495-6, 1993
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Intramedullary spinal cord abscess (ISCA)
Definitions
- Infection of spinal cord with necrosis
- Pyogenic infection most common
- Infection of spinal cord with necrosis
IMAGING
General Features
CT Findings
MR Findings
Nonvascular Interventions
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
- Bevan R et al: Infected congenital cervical dermal sinuses leading to spinal cord abscess: two case reports and a review of the literature. Childs Nerv Syst. ePub, 2020
- Verdier EP et al: Intramedullary cervical abscess mimicking a spinal cord tumor in a 10-year-old girl: a case-based review. Childs Nerv Syst. 34(11):2143-7, 2018
- Bakhsheshian J et al: Intramedullary cervical spinal cord abscess. World Neurosurg. 106:1049.e1-2, 2017
- Vo DT et al: Streptococcus pneumoniae meningitis complicated by an intramedullary abscess: a case report and review of the literature. J Med Case Rep. 10(1):290, 2016
- Kanaheswari Y et al: Intramedullary spinal cord abscess: the result of a missed congenital dermal sinus. J Paediatr Child Health. 51(2):223-5, 2015
- Al Barbarawi M et al: Management of intramedullary spinal cord abscess: experience with four cases, pathophysiology and outcomes. Eur Spine J. 18(5):710-7, 2009
- Ebner FH et al: Intramedullary lesions of the conus medullaris: differential diagnosis and surgical management. Neurosurg Rev. 32(3):287-300; discussion 300-1, 2009
- Gerlach R et al: Large intramedullary abscess of the spinal cord associated with an epidermoid cyst without dermal sinus. Case report. J Neurosurg Spine. 7(3):357-61, 2007
- Berger JR et al: Infectious myelopathies. Semin Neurol. 22(2): 133-42, 2002
- Chidambaram B et al: Intramedullary abscess of the spinal cord. Pediatr Neurosurg. 34(1): 43-4, 2001
- Durmaz R et al: Multiple nocardial abscesses of cerebrum, cerebellum and spinal cord, causing quadriplegia. Clin Neurol Neurosurg. 103(1): 59-62, 2001
- Elmac I et al: Cervical spinal cord intramedullary abscess. Case report. J Neurosurg Sci. 45(4): 213-5; discussion 215, 2001
- Krishnan A et al: Craniovertebral junction tuberculosis: a review of 29 cases. J Comput Assist Tomogr. 25(2): 171-6, 2001
- Rossi FH et al: Listeria spinal cord abscess responsive to trimethoprim-sulfamethoxazole monotherapy. Can J Neurol Sci. 28(4): 354-6, 2001
- Ruiz A et al: MR imaging of infections of the cervical spine. Magn Reson Imaging Clin N Am. 8(3): 561-80, 2000
- Desai KI et al: Holocord intramedullary abscess: an unusual case with review of literature. Spinal Cord. 37(12): 866-70, 1999
- Mukunda BN et al: Solitary spinal intramedullary abscess caused by Nocardia asteroides. South Med J. 92(12): 1223-4, 1999
- Chan CT et al: Intramedullary abscess of the spinal cord in the antibiotic era: clinical features, microbial etiologies, trends in pathogenesis, and outcomes. Clin Infect Dis. 27(3): 619-26, 1998
- Derkinderen P et al: Intramedullary spinal cord abscess associated with cervical spondylodiskitis and epidural abscess. Scand J Infect Dis. 30(6): 618-9, 1998
- Murphy KJ et al: Spinal cord infection: myelitis and abscess formation. AJNR Am J Neuroradiol. 19(2): 341-8, 1998
- Sverzut JM et al: Spinal cord abscess in a heroin addict: case report. Neuroradiology. 40(7): 455-8, 1998
- Friess HM et al: MR of staphylococcal myelitis of the cervical spinal cord. AJNR Am J Neuroradiol. 18(3): 455-8, 1997
- Banuelos AF et al: Central nervous system abscesses due to Coccidioides species. Clin Infect Dis. 22(2): 240-50, 1996
- Chu JY et al: Listeria spinal cord abscess--clinical and MRI findings. Can J Neurol Sci. 23(3): 220-3, 1996
- Martin RJ et al: Neurosurgical care of spinal epidural, subdural, and intramedullary abscesses and arachnoiditis. Orthop Clin North Am. 27(1): 125-36, 1996
- Bartels RH et al: Intramedullary spinal cord abscess. A case report. Spine. 20(10): 1199-204, 1995
- Lindner A et al: Magnetic resonance image findings of spinal intramedullary abscess caused by Candida albicans: case report. Neurosurgery. 36(2): 411-2, 1995
- Pfadenhauer K et al: Spinal manifestation of neurolisteriosis. J Neurol. 242(3): 153-6, 1995
- King SJ et al: MRI of an abscess of the cervical spinal cord in a case of Listeria meningoencephalomyelitis. Neuroradiology. 35(7): 495-6, 1993
