This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (40)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Richard A. R. Fraser, MD; Kenneth Ratzan, MD; Samuel M. Wolpert, MD; Louis Weinstein, MD

Arch Neurol. 1973;28(4):235-238.

Abstract
The present case report plus the literature provide ten examples of this disorder. Common to the majority are (1) a history of preceding or concurrent bacterial infection, (2) the absence of vertebral percussion tenderness, (3) varying degrees of slowly evolving neurological deficit, and (4) cerebrospinal fluid and myelographic abnormalities compatible with parameningeal inflammation but not diagnostic of the latter's location. Acute transverse myelopathy and acute epidural spinal abscess are disorders to be considered in the differential diagnosis. Diagnostic studies should include myelography via a lateral cervical route. Devastating morbidity and mortality can be avoided by early recognition and appropriate therapy.

Author Affiliations
Boston

From the departments of neurological surgery (Dr. Fraser), radiology (Dr. Wolpert), and infectious disease (Drs. Ratzan and Weinstein), Tufts-New England Medical Center, Boston.

Footnotes
Accepted for publication Oct 3, 1972.

Read before the annual meeting of the American Society of Neuroradiology, Mexico City, Feb 24, 1972.

Reprint requests to Department of Neurological Surgery, Tufts-New England Medical Center, 171 Harrison Ave, Boston 02111 (Dr. Fraser).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?