Browsing by Author "Pokhrel, RK"
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Publication Tubercular epidural abscess presenting as acute cauda equina syndrome(Institute of Medicine, 2015) Lakhey, RB; Kafle, D; Pokhrel, RKAbstract Tubercular epidural abscess without osseous and pulmonary involvement is an extremely rare scenario. Presentation of the same with cauda equina syndrome is even rarer. We present a case of tubercular epidural abscess in 31-year old male patient. He presented with acute cauda equina syndrome and was shown to have epidural abscess extending from L4-S3 vertebral level without any evidence of vertebral involvement in MRI. The patient did not have pulmonary involvement. The patient made an uneventful recovery following surgical decompression and anti-tubercular chemo- therapy. The diagnosis was confirmed by histo-pathological demonstration of tubercular granuloma in the biopsy specimen. Keywords: tuberculosis, epidural abscess, cauda equina syndrome, decompressionPublication Tubercular epidural abscess presenting as acute cauda equina syndrome(Institute of Medicine, 2015) Lakhey, RB; Kafle, D; Pokhrel, RKAbstract Tubercular epidural abscess without osseous and pulmonary involvement is an extremely rare scenario. Presentation of the same with cauda equina syndrome is even rarer. We present a case of tubercular epidural abscess in 31-year old male patient. He presented with acute cauda equina syndrome and was shown to have epidural abscess extending from L4-S3 vertebral level without any evidence of vertebral involvement in MRI. The patient did not have pulmonary involvement. The patient made an uneventful recovery following surgical decompression and anti-tubercular chemo- therapy. The diagnosis was confirmed by histo-pathological demonstration of tubercular granuloma in the biopsy specimen. Keywords: tuberculosis, epidural abscess, cauda equina syndrome, decompression