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Holocord abscess in association with congenital dermal sinus

Content Provider	Scilit
Author	Karthikeyan, Kavindapadi Veerasamy Kitchanan, Srinivasan Sriraman, Balakrishnan Ramesh, Vengalathur Ganesan
Copyright Year	2013
Abstract	Intramedullary spinal cord abscess in children is rare and holocord abscess is rarer. An 18-month-old girl presented with rapidly progressive paraplegia with fever for 2 months. The patient had complete flaccid paraplegia with absent sensation below D4 level. There was very small dermal sinus discharging pus in the lower lumbar region. Magnetic resonance imaging showed evidence of extensive multiloculated intramedullary abscess extending from D4 to L5 with cord edema upto cervical level. Laminotomy, excision of the dermal sinus and myelotomy, and evacuation of intramedullary abscess was performed. Escherichia coli and Pseudomonas were grown on culture. The child was treated with long-term parenteral antibiotics and started showing neurological improvement. Holocord abscess secondary to congenital dermal sinus is extremely rare and this is only the fourth report of such an instance.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3888034/pdf http://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2013;volume=8;issue=3;spage=198;epage=200;aulast=Ramesh;type=2
Ending Page	200
Page Count	3
Starting Page	198
File Format	XHTML
ISSN	18171745
e-ISSN	19983948
DOI	10.4103/1817-1745.123662
Journal	Journal of Pediatric Neurosciences
Issue Number	3
Volume Number	8
Language	English
Publisher	Medknow
Access Restriction	Open
Subject Keyword	Pediatrics and Child Health Holocord Abscess Holocord Abscess with Congenital Dermal Sinus Intramedullary Abscess Intramedullary Abscess with Congenital Dermal Sinus Journal of Pediatric Neurosciences, Volume 8, Issue 3
Content Type	Text
Resource Type	Article
Subject	Neuroscience Pediatrics, Perinatology and Child Health

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