Ventral Cervical Epidural Abscess Presenting as a Stroke Mimic With Paradoxical Thoracic Sensory Level: Diagnostic Challenges and Multimodal Management | Canada Hyperbarics Skip to main content
Case Report Am J Case Rep 2026

Ventral Cervical Epidural Abscess Presenting as a Stroke Mimic With Paradoxical Thoracic Sensory Level: Diagnostic Challenges and Multimodal Management

Yang I, Yin C, Chang K, Xiao F, Yang F — Am J Case Rep, 2026

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

This case report describes the challenging diagnosis and multimodal treatment of a 51-year-old man with a rare ventral cervical epidural abscess that initially mimicked a stroke.

What They Found

Researchers found that a 51-year-old man with a ventral cervical epidural abscess, complicated by MRSA infection, presented with symptoms initially mistaken for a stroke. Despite flaccid quadriplegia, his motor function improved to partial antigravity strength after urgent surgery, 6 weeks of antibiotics, and adjunctive therapies including hyperbaric oxygen therapy. He still required a wheelchair at discharge.

Canadian Relevance

The study authors are not Canadian. Epidural abscess is not a Health Canada-recognized indication for hyperbaric oxygen therapy. No direct Canadian connection identified.

Study Limitations

As a single case report, the findings from this study may not be generalizable to a broader patient population.

This plain-language summary is generated with AI assistance and checked against the source abstract before publication. See our editorial policy.

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Study Details

Study Type Case Report
Category Neurological
Source Pubmed
PubMed ID 42163441
Year Published 2026
Journal Am J Case Rep
MeSH Terms Humans; Male; Epidural Abscess; Middle Aged; Cervical Vertebrae; Diagnosis, Differential; Staphylococcal Infections; Magnetic Resonance Imaging; Stroke; Methicillin-Resistant Staphylococcus aureus; Discitis; Laminectomy

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.

Last reviewed: May 29, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology