{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T09:13:03Z","timestamp":1742807583316},"reference-count":8,"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>In a 31-year-old male, psoriasis vulgaris (PV) of the skin caused paraparesis attributed to a L3-L4 epidural spinal abscess that required emergent surgical decompression.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 31-year-old male presented with lower back pain and cauda equina compression attributed to a magnetic resonance-documented L34 enhancing lesion consistent with a spinal epidural abscess (SEA). The skin over the L3-L4 level revealed severe PV that proved to be the likely etiology of the right-sided paraspinal muscle abscess, infected right L3-L4 facet joint, and SEA. At surgery, the foci of infection were excised\/decompressed, and cultures grew methicillin-susceptible Staphylococcus aureus. Following surgery, the patient was improved and was treated with appropriate antibiotic therapy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>PV caused a L3-L4 epidural spinal abscess and cauda equina compression in a 31-year-old male who was successfully treated with operative decompression and appropriate antibiotic management.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_88_2024","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T09:26:13Z","timestamp":1712913973000},"page":"125","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psoriasis vulgaris of the skin caused a L3-L4 lumbar epidural spinal abscess"],"prefix":"10.25259","volume":"15","author":[{"given":"Natsuki","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Osaka University, Graduate School of Medicine, Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koshi","family":"Ninomiya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka University, Graduate School of Medicine, Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Ishihara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Iseikai International General Hospital, Osaka, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka University, Graduate School of Medicine, Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka University, Graduate School of Medicine, Suita, 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