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Arch Neurol. 2004;61:590-591.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 56-year-old man with recently treated urosepsis and renal stones reported midthoracic pain followed within 10 days by numb feet and spastic gait. Previously he had had an L5-S1 hemilaminectomy. He was afebrile, normotensive, and without spinal tenderness. Findings from neurologic examination revealed abdominal and quadriceps fasciculations, absent pinprick sensation below T6, and vibratory sense to the knees, absent ankle reflexes, and a spastic gait. Magnetic resonance imaging showed epidural thickening and enhancement around the thecal sac with a fluid collection posterolaterally from T7-T9, with spinal cord compression (Figure 1). Emergent surgery revealed pus at T8-T10, a culture of which grew Staphylococcus aureus. He was treated with vancomycin. Twelve hours after surgery gait and sensation were normal.

Figure appears in full text version. Sagittal magnetic resonance image of the thoracic spine (left, T1-weighted image; center, T1-weighted image with gadolinium; right, T2-weighted image). Note the lesion that is bright on T2-weighted imaging (image on . . . [Full Text of this Article]

Patrick A. Tessman, MD; David C. Preston, MD
Cleveland

Barbara E. Shapiro, MD, PhD
University Hospitals of Cleveland
Case Western Reserve University School of Medicine
11100 Euclid Ave
Cleveland, Ohio 44106-5098
(e-mail bes002{at}aol.com)

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