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Journal of Korean Neurosurgical Society > Volume 40(4); 2006 > Article
Journal of Korean Neurosurgical Society 2006;40(4): 289-292.
Thoracic Actinomycosis Causing Spinal Cord Compression.
In Soo Kim
Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea. neurokim@dsmc.or.kr
Thoracic spinal actinomycosis causing epidural abscess and significant spinal cord compression is very rare. A case is presented of a 56-year-old woman with rapid progressive upper back pain and weakness in both legs without evidence of systemic infection. Magnetic resonance imaging revealed a thoracic epidural enhancing lesion at the T1-T5 level. After decompression by laminectomy, precise diagnosis was accomplished using specific histopathological studies of the surgical specimens. A histopathologic findings showing typical Actinomyces sulfur granules surrounded by acute inflammatory cells. The clinical and radiological findings of spinal actinomycosis closely resemble metastatic tumors and other infectious processes. Delay in diagnosis and treatment can significantly worsen the condition of patient.
Key Words: Spinal actinomycosis; Cord compression
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