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

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Figure 2 Laboratory trends during treatmentGraph shows white blood cell count and C-reactive protein level from admission through the 6-week follow-up. The vertical line indicates the date of emergent decompressive surgery/epidural abscess evacuation (postoperative day 0), and subsequent vertical markers indicate initiation of adjunctive therapies.

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

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