Two-tuohy needle and catheter technique for fluoroscopically guided percutaneous XXXX : a case report.

@entity1 @entity1643 @entity51 @entity158 @entity7181 @entity491
BACKGROUND: The incidence of @entity7181 has increased in the past decades. Traditionally, management was based on surgical decompression. More recent studies have shown conservative management has successful outcomes in selected @entity1 . CASE REPORT: We present a case, in which an elderly @entity1 presented with new onset @entity158 and mild @entity491 more than a week after a complicated revision of an intrathecal catheter in place for management of chronic @entity1643 . Magentic resonance imaging (MRI) revealed a posterior epidural abscess from T12 to L2. Two Touhy needles were placed in the epidural space with fluoroscopic guidance for drainage of the abscess. A catheter was then advanced into the epidural space for irrigation with saline and an antibiotic solution. Intravenous antibiotics were continued for a total of 6 weeks. @entity158 resolved immediately post-procedure. Serial MRIs also showed decreasing size of the abscess. CONCLUSION: Posterior spinal epidural abscesses may be successfully treated by way of the two Touhy needle and catheter technique for drainage and irrigation. This procedure should be reserved for @entity1 that present with no @entity51 or deemed nonsurgical candidates. @entity1 should continue on prolonged intravenous antibiotics and be monitored closely for clinical deterioration and undergo serial follow-up MRIs.
