Biomaterial Database

Acute neurologic deterioration following lumbar puncture in an epidural abscess occurring 14 months after epidural catheter placement. 2000

J Doonan, and P Murphy, and J Timothy, and P Marks

Department of Anaesthetics, Leeds General Infirmary, England.

We report the case of a 19-year-old girl admitted to the hospital with a 2-month history of back pain and a 1-week history of severe weakness, who underwent a diagnostic lumbar puncture which was swiftly followed by acute neurologic deterioration requiring ventilation. She was subsequently shown to have an epidural abscess extending from the second cervical to the fifth lumbar vertebrae. She had received uneventful epidural analgesia for childbirth 14 months previously. The case is unusual in both the acute deterioration following lumbar puncture, and also in the length of time from epidural siting to abscess formation, if this were indeed the source of the infection.

UI	MeSH Term	Description	Entries
D009422	Nervous System Diseases	Diseases of the central and peripheral nervous system. This includes disorders of the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscle.	Neurologic Disorders,Nervous System Disorders,Neurological Disorders,Disease, Nervous System,Diseases, Nervous System,Disorder, Nervous System,Disorder, Neurologic,Disorder, Neurological,Disorders, Nervous System,Disorders, Neurologic,Disorders, Neurological,Nervous System Disease,Nervous System Disorder,Neurologic Disorder,Neurological Disorder
D002404	Catheterization	Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.	Cannulation,Cannulations,Catheterizations
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D013129	Spinal Puncture	Tapping fluid from the subarachnoid space in the lumbar region, usually between the third and fourth lumbar vertebrae.	Lumbar Puncture,Spinal Tap,Lumbar Punctures,Puncture, Lumbar,Puncture, Spinal,Punctures, Lumbar,Punctures, Spinal,Spinal Punctures,Spinal Taps,Tap, Spinal,Taps, Spinal
D020802	Epidural Abscess	Circumscribed collections of suppurative material occurring in the spinal or intracranial EPIDURAL SPACE. The majority of epidural abscesses occur in the spinal canal and are associated with OSTEOMYELITIS of a vertebral body; ANALGESIA, EPIDURAL; and other conditions. Clinical manifestations include local and radicular pain, weakness, sensory loss, URINARY INCONTINENCE, and FECAL INCONTINENCE. Cranial epidural abscesses are usually associated with OSTEOMYELITIS of a cranial bone, SINUSITIS, or OTITIS MEDIA. (From Adams et al., Principles of Neurology, 6th ed, p710 and pp1240-1; J Neurol Neurosurg Psychiatry 1998 Aug;65(2):209-12)	Abscess, Epidural,Abscess, Extradural,Spinal Epidural Abscess,Cranial Epidural Abscess,Cranial Extradural Abscess,Epidural Abscess, Intracranial,Epidural Abscess, Spinal,Intracranial Extradural Abscess,Spinal Extradural Abscess,Abscess, Cranial Epidural,Abscess, Cranial Extradural,Abscess, Intracranial Epidural,Abscess, Intracranial Extradural,Abscess, Spinal Epidural,Abscess, Spinal Extradural,Abscesses, Intracranial Extradural,Epidural Abscess, Cranial,Extradural Abscess,Extradural Abscess, Intracranial,Extradural Abscess, Spinal,Extradural Abscesses, Intracranial,Intracranial Epidural Abscess,Intracranial Extradural Abscesses