MRSA Spinal Epidural Abscess as a Neurosurgical and Infectious Disease Emergency with Unresolved Antimicrobial Solution

Figure 1

There is extensive epidural phlegmon throughout the cervical (c), thoracic (a, d), and lumbar spine (b) with intracranial extension into the posterior fossa beneath the cerebellum (c). There are small pockets of possible early abscess organization within this phlegmon, but no drainable collection is yet present. The phlegmon causes severe cord compression at C7–T1 (c) and T5–T10 (a, d) levels. There is extension inferiorly through the sacral level (b). There is relative increased T2 signal in the anterior and posterior bony elements at the T1-T2 and T6–T8 levels (d).

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