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Journal of Neuroinfectious Diseases
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  • Case Report   
  • J Neuroinfect Dis 2019, Vol 10(2): 288

Holospinal Epidural Abscess – A Surgical Perspective

Venugopal S and Ganapathy S*
Department of Neurosurgery, Manipal Hospital Whitefield, Bangalore, India
*Corresponding Author : Ganapathy S, Department of Neurosurgery, Manipal Hospital Whitefield, Bangalore, India, Tel: 09686617831, Email: [email protected]

Received Date: Jun 04, 2019 / Accepted Date: Jul 15, 2019 / Published Date: Aug 01, 2019


Holospinal epidural abscesses (HEAs) are exceedingly rare, with very few documented cases in the literature. It is a condition in which spinal epidural abscesses extend from the cervical to the sacral spine. Despite the increasing prevalence of spinal infections, the subcategory of HEAs is extremely infrequent and requires unique management. Holospinal imaging modern aggressive antibiotic therapy, and prompt surgical intervention remain the standard of care for all spinal axis infections including HEAs. However, the surgical decision making on timing and extent of the procedure still remain ill-defined for HEAs. We report a patient who presented with rapidly progressive quadriparesis secondary to HEA. He underwent urgent surgical decompression with abscess drainage and arrest of further neurological deterioration. We discuss the surgical management strategies and briefly review the literature regarding HEA.

Keywords: Epidural abscess; Spinal infection; Skip laminectomy; Holospinal epidural abscess

Citation: Ganapathy S, Venugopal S (2019) Holospinal Epidural Abscess – A Surgical Perspective. J Neuroinfect Dis 10: 289.

Copyright: © 2019 Ganapathy S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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