Epidural abscess of the cervical spine
Patient presented with neurological symptoms consistent with cervical cord compression, with associated neck pain and raised inflammatory markers.
MRI Cx spine
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T1 C+ fat sat
MRI demonstrates an epidural collection: low T1, high T2 with peripheral contrast enhancement. The cord is displaced posteriorly and to the right. Features are consistent with an epidural abscess.
There are associated changes at the C3/4 level consistent with advanced discitis osteomyelitis.
This case demonstrates the changes of advanced cervical discitis / osteomyelitis with a large associated epidural abscess with compression of the cord.