{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:23:38Z","timestamp":1789104218234,"version":"build-2803163510"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background:<\/jats:title>\n<jats:p>Holospinal epidural abscess (HEA) is a rare pathological entity with significant morbidity and mortality rates. Here, we present a 74-year-old male with HEA treated with focal skip laminectomies and catheter irrigation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description:<\/jats:title>\n<jats:p>A 74-year-old male presented with fever, neck\/back pain, and slight weakness in his legs bilaterally (4\/5). The patient underwent a magnetic resonance imaging (MRI) of the entire spine showing an epidural collection extending from C5-C6 to the L4-L5 levels. Laboratory studies revealed a leukocytosis and an elevated C-reaction protein level. Blood cultures were positive for methicillin-sensitive <jats:italic>Staphylococcus aureus<\/jats:italic>. The patient underwent skip laminectomies at C6 and C7; T2, T3, T5, T6, T8, T9, T10, and T12; and L3, L4, and L5 with catheter irrigation between these levels; this minimized the risk of postoperative kyphosis and instability. His postoperative course was uneventful. Other surgical approaches to HEA described in literature include laminectomy, focal laminectomies, and skip laminectomies.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>In this case of a holospinal HEA, skip laminectomies and catheter irrigation avoided neurological deterioration and delayed spinal instability in a 74-year-old male.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_436_2019","type":"journal-article","created":{"date-parts":[[2019,10,22]],"date-time":"2019-10-22T06:19:39Z","timestamp":1571725179000},"page":"204","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Holospinal epidural abscess in elderly patient: A case presentation and review"],"prefix":"10.25259","volume":"10","author":[{"given":"Ioannis D.","family":"Siasios","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Papageorgiou Hospital, Thessaloniki, Greece,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aggeliki","family":"Fotiadou","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital of Alexandroupolis, Alexandroupolis, Greece,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kostas","family":"Fountas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital of Larissa, Larissa, Greece,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vassilios","family":"Dimopoulos","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Cayuga Medical Center, Ithaca, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2019,10,18]]},"reference":[{"key":"10.25259\/SNI_436_2019\/ref-1","doi-asserted-by":"crossref","first-page":"318","DOI":"10.3171\/2014.11.SPINE131166","article-title":"Extensive spinal epidural abscess treated with 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