{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:29:42Z","timestamp":1787754582583,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2015,9,9]]},"abstract":"\n Case:<\/jats:title>\n Few cases of spinal epidural abscess involving an extradural abscess with an intradural extension have been reported. A unique complication with extension of pus from the epidural space through multiple perforations into the dura is described. Due to a proximal meningeal inflammatory reaction, which served as a proximal plug, no cerebrospinal fluid leak was encountered.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Intradural extension of pus through multiple dural perforations is a rare complication of spinal epidural abscess and a treatment challenge. Early diagnosis enabling prompt surgical decompression, along with subsequent aggressive debridements and prolonged intravenous antibiotic treatment, can lead to a favorable outcome.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.n.00253","type":"journal-article","created":{"date-parts":[[2015,9,9]],"date-time":"2015-09-09T23:24:16Z","timestamp":1441841056000},"page":"e76","source":"Crossref","is-referenced-by-count":2,"title":["Intradural Extension of a Pyogenic Epidural Abscess"],"prefix":"10.2106","volume":"5","author":[{"given":"Philip J.","family":"Rosinsky","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oren","family":"Zimhony","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pnina","family":"Ciobotaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaul","family":"Sagiv","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peleg","family":"Ben-Galim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"5","key":"bib1-20231015","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1111\/j.1600-0404.2005.00496.x","article-title":"Spinal subdural Staphylococcus aureus abscess: case report and review of the literature","volume":"112","author":"Vural","year":"2005","journal-title":"Acta Neurol Scand."},{"issue":"12","key":"bib2-20231015","doi-asserted-by":"crossref","first-page":"E354","DOI":"10.1097\/BRS.0b013e31805c0ab7","article-title":"Pyogenic intradural abscess: a case report","volume":"32","author":"Kulkarni","year":"2007","journal-title":"Spine (Phila Pa 1976)."},{"issue":"6","key":"bib3-20231015","doi-asserted-by":"crossref","first-page":"765","DOI":"10.3171\/2011.1.SPINE1091","article-title":"Prospective evaluation of a clinical decision guideline to diagnose spinal epidural abscess in patients who present to the emergency department with spine pain","volume":"14","author":"Davis","year":"2011","journal-title":"J Neurosurg Spine."},{"issue":"2","key":"bib4-20231015","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1053\/jinf.2002.1013","article-title":"Spinal epidural abscess\u2014experience with 46 patients and evaluation of prognostic factors","volume":"45","author":"Tang","year":"2002","journal-title":"J Infect."},{"issue":"6","key":"bib5-20231015","doi-asserted-by":"crossref","first-page":"929","DOI":"10.3171\/jns.1993.79.6.0929","article-title":"Subdural empyema of the cervical spine: clinicopathological correlates and magnetic resonance imaging. 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