Epidural abscess of the cervical spine
Sudden onset neck pain associated with headache, upper limb weakness and altered sensation, shortness of breath and nausea
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CT shows left dorsal epidural abscess or collection extending from the craniocervical junction below the foramen magnum at the level of C1 down to the level of C5/C6.
Posterior spinal cord compression at the level of C3.
This collection measures approximately 62x12mm in the coronal plane and 75 x 9mm in the left para-sagittal plane and extends laterally between the spinous processes of C1 and C2.
Relevant blood workup as follows:
White Cell Count: 18.7 x 10*9/L
Neutrophils: 16.1 x 10*9/L
C-Reactive Protein: 606mg/L
Blood Culture grew Methicillin-sensitive Staphylococcus aureus.
The patient was transferred to a neurosurgical team at a tertiary centre for management.