Tubercular epidural abscess presenting as acute cauda equina syndrome

Lakhey, RB; Kafle, D; Pokhrel, RK

Publication:
Tubercular epidural abscess presenting as acute cauda equina syndrome

dc.contributor.author	Lakhey, RB
dc.contributor.author	Kafle, D
dc.contributor.author	Pokhrel, RK
dc.date.accessioned	2026-04-28T10:27:13Z
dc.date.available	2026-04-28T10:27:13Z
dc.date.issued	2015
dc.description	RB Lakhey Spine Unit, Department of Orthopedics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal D Kafle Spine Unit, Department of Orthopedics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal RK Pokhrel Spine Unit, Department of Orthopedics, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
dc.description.abstract	Abstract 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
dc.identifier	https://doi.org/10.59779/jiomnepal.949
dc.identifier.uri	https://hdl.handle.net/20.500.14572/5976
dc.language.iso	en_US
dc.publisher	Institute of Medicine
dc.subject	tuberculosis
dc.subject	epidural abscess
dc.subject	cauda equina syndrome
dc.subject	decompression
dc.title	Tubercular epidural abscess presenting as acute cauda equina syndrome
dc.type	Article
dspace.entity.type	Publication
local.article.type	Case Report
oaire.citation.endPage	127
oaire.citation.startPage	125