Spinal cord abscess
Alternative Names
Abscess - spinal cordTreatment
The goals of treatment are to relieve spinal cord compression and cure the infection.
Urgent surgical decompression (by laminectomy, cutting through the bones of the spine) is sometimes recommended, depending on the condition of the patient. This procedure involves draining of the abscess. Sometimes it is not possible to completely drain the abscess.
Medicines are prescribed to kill the organism responsible for the infection. This may include antimicrobials or a combination of antibiotics.
Corticosteroids may occasionally be prescribed to reduce swelling and compression of the spinal cord.
Outlook (Prognosis)
An untreated spinal cord abscess leads to spinal cord compression that causes permanent, severe paralysis and other nerve losses. It may be life threatening.
How well a person does after treatment may vary. Some have a complete recovery. Incomplete drainage may result in a return of the abscess or scarring in the spinal cord.
Possible Complications
The abscess can either injure the spinal cord from direct pressure, or can cut off the blood supply to the spinal cord, leading to a stroke of the cord.
In either case, neurological function below the abscess area is greatly impaired. Permanent neurologic losses vary but may include:
- Loss of sensation
- Loss of bladder/bowel control
- Male impotence
- Weakness, paralysis
When to Contact a Medical Professional
Go to the emergency room or call the local emergency number (such as 911) if you have symptoms of spinal cord abscess.
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