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Thoracic Actinomycosis Causing Spinal Cord Compression  

Kim, In-Soo (Department of Neurosurgery, Dongsan Medical Center, Keimyung University School of Medicine)
Publication Information
Journal of Korean Neurosurgical Society / v.40, no.4, 2006 , pp. 289-292 More about this Journal
Abstract
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 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.
Keywords
Spinal actinomycosis; Cord compression;
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