Dural perforation and life-threatening central nervous system complications associated with septic arthritis of the lumbar facet joint: illustrative case
This case highlights the potential for an epidural abscess of the SALFJ to directly perforate the dura mater, causing severe CNS complications. This emphasizes the importance of prompt diagnosis and appropriate surgical intervention in managing such complex cases. Timely lumbar surgery, combined with targeted antibiotic therapy, can be life-saving in this rare but critical scenario. https://thejns.org/doi/10.3171/CASE24621.
Authors
- Minoru Doita
- Hirotaka Yan (ORCID: https://orcid.org/0000-0002-1838-3586)
- Kohei Chida (ORCID: https://orcid.org/0000-0002-1318-5329)
- Ryo Itabashi (ORCID: https://orcid.org/0000-0001-8098-457X)
- Hideki Murakami (ORCID: https://orcid.org/0000-0001-6195-0358)
- Makoto Suzuki (ORCID: https://orcid.org/0000-0001-8356-2858)
- Yusuke Chiba (ORCID: https://orcid.org/0000-0001-6592-5272)
- Daisuke Yamabe (ORCID: https://orcid.org/0000-0002-6769-716X)
- Tetsuya Maeda (ORCID: https://orcid.org/0000-0002-6207-8343)
- Yoshio Suzuki (ORCID: https://orcid.org/0000-0002-1553-8554)
- Keita Taguchi
- Keisuke Tsuda
- Hirokazu Shitogishi
Institutions
- Iwate Medical University (JP)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2025-01-27
- DOI
- https://doi.org/10.3171/case24621
- Primary Topic
- Infectious Diseases and Tuberculosis
- Type
- article
- Field-Weighted Citation Impact
- 0.00