Pyogenic intradural abscess: a case report.

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.