Spinal subdural abscess: 4 cases report during ten years in Tehran Children Medical Center

Bacterial abscesses involving the spinal canal are associated with a high morbidity and mortality. Most frequently, these lesions are found in the epidural, rarely in the subdural spaces. Spinal subdural abscess is rare. The exact incidence of the spinal subdural abscess(SSA) is unknown and the most affected region is the thoraco-lumbar spine. The timing for MRI is very important when the clinician notices these symptoms in the patient. Early diagnosis and emergent treatment is vital to prevent the formation or progression of neurologic deficits. Although the most common bacterial source is Staphylococcus aureus, bacterial sources were proteus and E.coli in the patients. In this report, we presented four patients with SSA in the thoraco lumbar region. Over the last 10 years, four cases of spinal subdural abscess were admitted and treated at Tehran Children Medical Center. All of four cases were under 3 years old and surgically and medical treated. All four patients were received antibiotics for a period of 4-6 weeks and showed remarkable recovery.