Pyogenic intradural abscess: a case report

Abstract

Study design: A case report of pyogenic intradural abscess is described.

Objectives: The rarity of the presentation and its successful management are discussed.

Summary of background data: Intradural abscesses are exceptionally rare.

Method: The abscess was drained by performing a posterior midline lumbar durotomy, and intravenous antibiotics were initiated.

Result: At the 1 year follow-up, the patient has made significant neurologic recovery.

Conclusion: Intradural pyogenic abscess secondary to chronic pyogenic spondylodiscitis is a rare manifestation. MRI is a vital component in diagnosis, which revealed key pathologic features within the dural sac as well as in the vertebral column. An emergency decompression and appropriate antibiotic regimen is the solution for a favorable outcome.