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OtherSPINE

Thoracic Intradural Aspergillus Abscess Formation following Epidural Steroid Injection

Gaurav Saigal, M. Judith Donovan Post and Dusko Kozic
American Journal of Neuroradiology April 2004, 25 (4) 642-644;
Gaurav Saigal
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M. Judith Donovan Post
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Dusko Kozic
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    Fig 1.

    Sagittal MR images of the thoracolumbar spine obtained at the initial presentation.

    A, T2-weighted image showing enlargement of the thoracolumbar cord with hyperintense intramedullary signal intensity (arrows).

    B, Contrast-enhanced T1-weighted image showing enhancement of the leptomeninges and the cauda equina (arrows). The intradural abscess is also seen at the T10-T11 level (arrowhead).

    C, Axial contrast-enhanced T1-weighted MR image depicting the intradural abscess dorsally at the T12-L1 level (long arrow). The conus (short arrow) is displaced anteriorly and compressed by the abscess.

  • Fig 2.
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    Fig 2.

    MR imaging performed 3 weeks after the initial presentation.

    A, Sagittal contrast-enhanced T1-weighted image demonstrating intense enhancement and irregularity of the endplates at the L4-L5 level consistent with discitis/osteomyelitis (long arrow). A large ventral epidural collection was also noted (short arrow).

    B, Axial contrast-enhanced fat-saturated T1-weighted image at the L3 level showing the ventral epidural abscess collection (arrow). Abnormal soft tissue enhancement of the psoas and the posterior paraspinal musculature was also noted.

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American Journal of Neuroradiology: 25 (4)
American Journal of Neuroradiology
Vol. 25, Issue 4
1 Apr 2004
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Thoracic Intradural Aspergillus Abscess Formation following Epidural Steroid Injection
Gaurav Saigal, M. Judith Donovan Post, Dusko Kozic
American Journal of Neuroradiology Apr 2004, 25 (4) 642-644;

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Thoracic Intradural Aspergillus Abscess Formation following Epidural Steroid Injection
Gaurav Saigal, M. Judith Donovan Post, Dusko Kozic
American Journal of Neuroradiology Apr 2004, 25 (4) 642-644;
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