A case of paravertebral abscess presented with ataxic gait

DOI
  • Arai Shoya
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Ishigami Yuichiro
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Ogawa Atsuhiro
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Sugawara Seitaro
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Numata Kenji
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Nakashima Yoshiyuki
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Homma Yosuke
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Mizobe Michiko
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Takahashi Jin
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Inoue Testuya
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center
  • Funakoshi Hiraku
    Department of Emergency and Critical Medicine, Tokyo Bay Urayasu Ichikawa Medical Center

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Other Title
  • 失調性歩行をきたした傍脊柱起立筋膿瘍の一例

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Abstract

<p>Paravertebral abscess is a rare disease with few case reports. Because the symptoms are nonspecific, the diagnosis is difficult. We experienced a case with paravertebral abscess which presented with ataxic gait and tilted body truck. The paravertebral muscle is composed of three muscles (i.e. the iliocostal muscle, longissimus muscle, spinal muscle) and when one side of the paravertebral muscle contracts, the body truck turns and bends to the side. We thought that the inflammation from the abscess contracts the paravertebral muscle, resulting in the ataxic gait and tilted body truck.</p>

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