Furthermore, during the lumbar puncture there is a risk (although rare) to spread the infected pus-like material if the needle traverses the abscess which could have happened to our patient. Unfortunately our patient had a poor prognosis and died 6 weeks after his admission in the ICU. Conclusion Spinal subdural abscess is a very rare but well described entity and associated with high

morbidity and mortality. It is a neurosurgical emergency and as soon as diagnosis is established surgical treatment in collaboration to antibiotic therapy should selleck kinase inhibitor be performed. Progressive neurological deficits, severe pain and fever suggest the diagnosis. The timing of the contrast-enhanced MRI, which is the modality of choice, is very NU7026 ic50 important when the physicians notice the above symptoms. Staph aureus should be considered the most possible pathogen. Consent Written informed consent was obtained from the patient relative for publication of this case report and MRI images. A copy of the written consent is available from the editor-in-chief of the journal. References 1. Vural M, Arslantaş A, Adapınar B, Kiremitcçi A, Usluer G, Cuong B, Atasoy MA: Spinal subdural Staphylococcus aureus abscess: case report and review of the

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