{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T00:47:09Z","timestamp":1699058829769},"reference-count":5,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nTimely diagnosis and prompt management of thoracic epidural abscesses are vital to preventing the onset of irreversible paralysis and death.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 39-year-old female was managed initially for non-specific chest pain for 10 days (i.e., diagnosis of respiratory tract infection). After she developed paraplegia (0\/5 motor function), a T10 sensory level, and acute urinary retention, a thoracic magnetic resonance with contrast revealed a T3\u2013T7 spinal epidural abscess with cord compression. On review of her lab studies revealed a white blood cell count of 11.03 \u00d7 109<\/jats:sup>\/L and a C-reactive protein level of 122 mg\/dL. Following a T3\u2013T7 laminectomy with evacuation of an extradural empyema, she fully recovered.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThis case report emphasizes the need for early recognition, diagnosis, and treatment of thoracic epidural abscesses that are too often mis-diagnosed as respiratory infections.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_736_2023","type":"journal-article","created":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T05:45:48Z","timestamp":1698990348000},"page":"386","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of full recovery following delayed presentation of paraplegia secondary to thoracic epidural abscess: A case report and review of the literature"],"prefix":"10.25259","volume":"14","author":[{"given":"Oluwaseyi","family":"Adebola","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Leeds Teaching Hospital National Health Service (NHS) Trust, Leeds, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Adsul","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Leeds Teaching Hospital National Health Service (NHS) Trust, Leeds, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debasish","family":"Pal","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, Leeds Teaching Hospital National Health Service (NHS) Trust, Leeds, United Kingdom."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2023,11,3]]},"reference":[{"key":"10.25259\/SNI_736_2023\/ref-1","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1016\/j.amjmed.2017.03.009","article-title":"Errors in diagnosis of spinal epidural abscesses in the era of electronic health records","volume":"130","author":"Bhise","year":"2017","journal-title":"Am J Med"},{"key":"10.25259\/SNI_736_2023\/ref-2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.3171\/2013.3.SPINE12762","article-title":"Comparison of operative and nonoperative management of spinal epidural abscess: A retrospective review of clinical and laboratory predictors of neurological outcome","volume":"19","author":"Connor","year":"2013","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_736_2023\/ref-3","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/PL00011954","article-title":"Spinal epidural abscess: A meta-analysis of 915 patients","volume":"23","author":"Reihsaus","year":"2000","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_736_2023\/ref-4","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/j.emc.2016.06.015","article-title":"Acute nontraumatic back pain: Risk stratification, emergency department management, and review of serious pathologies","volume":"34","author":"Singleton","year":"2016","journal-title":"Emerg Med Clin North Am"},{"key":"10.25259\/SNI_736_2023\/ref-5","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s00701-007-1485-6","article-title":"Complete recovery of acute paraplegia due to pyogenic thoracic spondylodiscitis with an epidural abscess","volume":"150","author":"Turgut","year":"2008","journal-title":"Acta Neurochir (Wien)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/a-rare-case-of-full-recovery-following-delayed-presentation-of-paraplegia-secondary-to-thoracic-epidural-abscess-a-case-report-and-review-of-the-literature\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-rare-case-of-full-recovery-following-delayed-presentation-of-paraplegia-secondary-to-thoracic-epidural-abscess-a-case-report-and-review-of-the-literature\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T05:45:56Z","timestamp":1698990356000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/a-rare-case-of-full-recovery-following-delayed-presentation-of-paraplegia-secondary-to-thoracic-epidural-abscess-a-case-report-and-review-of-the-literature\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,3]]},"references-count":5,"alternative-id":["10.25259\/SNI_736_2023"],"URL":"https:\/\/doi.org\/10.25259\/sni_736_2023","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11,3]]},"article-number":"386"}}