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

I-Fang Yang; Chung-Yao Yin; Kai-Hsiang Chang; Fu-Yao Xiao; Fu-Chi Yang

doi:10.12659/AJCR.952372

21 May 2026 : Case report Taiwan

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

Challenging differential diagnosis, Rare disease

I-Fang Yang^{BCDEF 1}, Chung-Yao Yin^{B 1}, Kai-Hsiang Chang^{CD 2}, Fu-Yao Xiao^{B 1}, Fu-Chi Yang^{ADEF 1*}

DOI: 10.12659/AJCR.952372

Am J Case Rep 2026; 27:e952372

Authors information Article notes Copyright and License information

Introduction Case Report Discussion Conclusions References

Related articles Order reprints Share article Share by email

View HTML version

Figure 1 Preoperative cervical spine MRI demonstrates ventral cervical epidural abscess with spinal cord compression(A) Sagittal T1-weighted post-contrast image shows rim-enhancing ventral epidural collection with longitudinal spread (yellow arrow). (B) Axial T1-weighted post-contrast image show a rim-enhancing fluid collection (yellow arrowheads) and (C) Axial T2 STIR image show hyperintense ventral epidural collection with surrounding inflammatory edema (yellow arrowheads), causing spinal cord compression.

Back to the Article

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

Your Privacy