1. EMedicine - Spinal Epidural Abscess : Article By J Stephen Huff, MD An introduction to spinal epidural abscess, the clinical features, work up, treatment, medicine and follow up. http://www.emedicine.com/NEURO/topic349.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Neurology Neurological Infections Spinal Epidural Abscess Last Updated: December 14, 2001 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: J Stephen Huff, MD , Associate Professor of Emergency Medicine and Neurology, Department of Emergency Medicine, University of Virginia Health System J Stephen Huff, MD, is a member of the following medical societies: American Academy of Emergency Medicine American Academy of Neurology American College of Emergency Physicians , and Society for Academic Emergency Medicine Editor(s): Edward Hogan, MD , Chair, Professor, Department of Neurology, Medical University of South Carolina; Francisco Talavera, PharmD, PhD , Senior Pharmacy Editor, Pharmacy, eMedicine; Florian P Thomas, MD, PhD, Drmed

2. MedlinePlus Medical Encyclopedia: Epidural Abscess epidural abscess. epidural abscess is a rare disorder. Nine out of ten cases are located in the spine (spinal epidural abscess). http://www.nlm.nih.gov/medlineplus/ency/article/001416.htm

@import url(http://www.nlm.nih.gov/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Epidural abscess Contents of this page: Alternative names Definition Causes, incidence, and risk factors Symptoms ... Prevention Alternative names Abscess - epidural; Spinal abscess Definition Return to top An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. Causes, incidence, and risk factors Return to top An epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as an intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the

3. EMedicine - Epidural Abscess : Article By Gopala K Yadavalli, MD epidural abscess An epidural abscess may be defined as pus in the space between the dura mater of the brain or spinal cord and the overlying bone. Although uncommon entities, spinal epidural http://www.emedicine.com/med/topic2439.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Infectious Diseases Epidural Abscess Last Updated: March 1, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: spinal epidural abscess, SEA, intracranial epidural abscess, IEA, increased intracranial pressure, ICP AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Gopala K Yadavalli, MD , Fellow, Department of Internal Medicine, Division of Infectious Diseases, University Hospitals of Cleveland and Case Western Reserve University Coauthor(s): Robert A Salata, MD , Chief and Clinical Program Director of Division of Infectious Diseases, Vice Chair for International Affairs, Professor, Department of Medicine, Case Western Reserve University School of Medicine Gopala K Yadavalli, MD, is a member of the following medical societies: American Society of Transplantation Infectious Diseases Society of America , and Society of Critical Care Medicine Editor(s): Fred A Lopez, MD

4. Spinal Epidural Abscess: A Diagnostic Challenge - April 1, 2002 - American Famil Advanced Search. Spinal epidural abscess A Diagnostic Challenge. DEARDRE CHAO, M.D., M.S., and ANIL NANDA, M.D. Louisiana State University Health Sciences Center, Monroe, Louisiana epidural abscess of the spinal column is a rare condition that can be fatal if left Risk factors for epidural abscess include immunocompromised states such as diabetes mellitus http://www.aafp.org/afp/20020401/1341.html

Advanced Search Spinal Epidural Abscess: A Diagnostic Challenge DEARDRE CHAO, M.D., M.S., and ANIL NANDA, M.D. Louisiana State University Health Sciences Center, Monroe, Louisiana Epidural abscess of the spinal column is a rare condition that can be fatal if left untreated. Risk factors for epidural abscess include immunocompromised states such as diabetes mellitus, alcoholism, cancer, and acquired immunodeficiency syndrome, as well as spinal procedures including epidural anesthesia and spinal surgery. The signs and symptoms of epidural abscess are nonspecific and can range from low back pain to sepsis. The treatment of choice in most patients is surgical decompression followed by four to six weeks of antibiotic therapy. Nonsurgical treatment may be appropriate in selected patients. The most common causative organism in spinal epidural abscess is Staphylococcus aureus. A PDF version of this document is available. Download PDF now (6 pages / 184 KB).

5. HealthCentral - General Encyclopedia - Epidural Abscess General Health Encyclopedia, epidural abscess. An epidural abscess of the spine may cause sudden severe neurologic losses and may be life threatening. http://www.healthcentral.com/mhc/top/001416.cfm

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6. Bacterial Epidural Abscess & Diskitis Thoracic Spine revealed findings consistent with an epidural abscess. Emergency surgery yielded Staphylococcus aureus on cultures of the epidural abscess. http://www.flash.net/~drrad/tf/121696.htm

Numaguchi Y; Rigamonti D; Rothman MI; Sato S; et al. Spinal epidural abscess: evaluation with gadolinium-enhanced MR imaging. Radiographics 1993 May;13(3):545-59; discussion 559-60 UI:93303319 Sandhu FS; Dillon WP. Spinal epidural abscess: evaluation with contrast-enhanced MR imaging. AJNR Am J Neuroradiol 1991 Nov-Dec;12(6):1087-93 UI:92109080 Post MJ; Sze G; Quencer RM; Eismont FJ; et al. Gadolinium-enhanced MR in spinal infection. J Comput Assist Tomogr 1990 Sep-Oct;14(5):721-9 UI:90375690 Erntell M; Holt as S; Norlin K; Dahlquist E; Nilsson-Ehle I. Magnetic resonance imaging in the diagnosis of spinal epidural abscess. Scand J Infect Dis 1988;20(3):323-7 UI:88305246 Sadato N; Numaguchi Y; Rigamonti D; Kodama T; et al. Spinal epidural abscess with gadolinium-enhanced MRI: serial follow- up studies and clinical correlations. Neuroradiology 1994;36(1):44-8 UI:94150850 Liem LK; Rigamonti D; Wolf AL; Robinson WL; et al. Thoracic epidural abscess. J Spinal Disord 1994 Oct;7(5):449-54 UI:95119478 Darouiche RO; Hamill RJ; Greenberg SB; Weathers SW; Musher DM. Bacterial spinal epidural abscess. Review of 43 cases and literature survey. REVIEW ARTICLE: 87 REFS. Medicine (Baltimore) 1992 Nov;71(6):369-85 UI:93061980

7. Medical Encyclopedia: Epidural Abscess (Print Version) Medical Encyclopedia epidural abscess. URL of this page http//www.nlm.nih.gov/medlineplus/ency/article/001416.htm. epidural abscess is a rare disorder. http://www.nlm.nih.gov/medlineplus/print/ency/article/001416.htm

To print this page, use the print option from your browser. To close this window, click on the "x" in the upper right hand corner of the window. Medical Encyclopedia: Epidural abscess URL of this page: http://www.nlm.nih.gov/medlineplus/ency/article/001416.htm Alternative names Abscess - epidural; Spinal abscess Definition An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. Causes, incidence, and risk factors An epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as an intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the abscess in response to the infection. Most symptoms are due to enlargement of the abscess and surrounding inflammation, which can lead to tissue compression in the brain and spinal cord.

8. Discovery Health Epidural Abscess An epidural abscess is a walled off area of infection in the epidural space. This is the space between the outermost membrane of the brain or spinal cord and the overlying bone and ligaments. http://health.discovery.com/diseasesandcond/encyclopedia/1844.html

9. EMJA: An Unusual Cause Of An Epidural Abscess Diagnostic Dilemma. An unusual cause of an epidural abscess. Sebastiaan Magnetic resonance imaging confirmed an epidural abscess. A http://www.mja.com.au/public/issues/180_01_050104/van10459_fm.html

Home Issues Classifieds Contact ... Search PubMed for related articles Diagnostic Dilemma An unusual cause of an epidural abscess Sebastiaan J van Hal and Jeffrey J Post MJA Introduction Clinical record Discussion Acknowledgements ... Author details A previously well 30-year-old man presented with severe progressive back pain, joint pain and fever. Magnetic resonance imaging confirmed an epidural abscess. A sexual history revealed both risk factors for and previous symptoms of a sexually acquired infection. Neisseria gonorrhoeae was isolated from a rectal swab and from a wrist aspirate, consistent with disseminated gonococcal infection. The epidural abscess resolved clinically and radiologically after treatment for N. gonorrhoeae with ceftriaxone. Localised back pain and fever are important symptoms, which may indicate an epidural abscess or vertebral osteomyelitis. In assessing such a patient, a sexual history is often omitted, but it can provide useful information, as illustrated here. Clinical record Presentation (Day 0): A 30-year-old man presented to hospital with an 8-day history of progressive severe thoracic back pain and a 5-day history of left knee pain. The back pain had occurred suddenly after lifting weights, and radiated to the right chest wall. Chiropractic manipulation and paracetamol had been unsuccessful in relieving the pain. His family history in relation to rheumatological or inflammatory disorders was unremarkable, and he had never used intravenous drugs. He had no symptoms of fever, conjunctivitis, urethritis, rash, early morning joint stiffness or neurological dysfunction.

10. THE MERCK MANUAL, Sec. 14, Ch. 182, Spinal Cord Disorders Spinal subdural or epidural abscess often occurs in a patient with an underlying infection, either function, any patient with an epidural abscess, even one without deficits, is http://www.merck.com/pubs/mmanual/section14/chapter182/182c.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 14. Neurologic Disorders Chapter 182. Spinal Cord Disorders Topics [General] Spinal Cord Compression Subdural Or Epidural Abscess And Hematoma Syrinx ... Spinal Cord Injury Subdural Or Epidural Abscess And Hematoma Spinal subdural or epidural abscess often occurs in a patient with an underlying infection, either remote (eg, furuncle, dental abscess) or contiguous (eg, vertebral osteomyelitis, decubitus ulcer, retroperitoneal abscess). About 1/3 of cases arise spontaneously, without the cause becoming apparent. The most common causative organism is Staphylococcus aureus, followed by Escherichia coli and mixed anaerobes. Rarely, a tuberculous abscess accompanies Pott's disease of the thoracic spine. Spinal subdural or epidural hematoma may result from back trauma, from anticoagulant or thrombolytic therapy, or, in patients with bleeding diathesis, from lumbar puncture. Spinal abscess and hematoma begin with local back pain and percussion tenderness (usually thoracic or lumbar) that are often severe; pain may radiate in a root distribution. Compression of the cord or lumbar spinal roots leads to weakness in a cauda equina, paraplegic, or quadriplegic pattern. With abscess, weakness initially progresses over hours to days, often abruptly deteriorating to paraplegia or quadriplegia; with hematoma, weakness usually progresses within minutes to several hours. Whether sensory or sphincter deficits occur depends on the site and size of the lesion. Most patients with an abscess are febrile, and CSF has a high protein content and lymphocytic pleocytosis; spinal x-rays show osteomyelitic findings in about 1/3 of cases.

11. AllRefer Health - Epidural Abscess (Abscess - Epidural, Spinal Abscess) epidural abscess (Abscess Epidural, Spinal Abscess) information center covers causes, prevention, symptoms, diagnosis, treatment, incidence, risk factors http://health.allrefer.com/health/epidural-abscess-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia You are here : AllRefer.com Health Epidural Abscess Epidural Abscess Definition Prevention Treatment Expectations or Prognosis ... Go To Main Page Alternate Names : Abscess - Epidural, Spinal Abscess Definition An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. An epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as an intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the

12. AllRefer Health - Epidural Abscess Symptoms & Signs (Abscess - Epidural, Spinal epidural abscess (Abscess Epidural, Spinal Abscess) information center covers Symptoms Signs. epidural abscess. epidural abscess. http://health.allrefer.com/health/epidural-abscess-symptoms.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia You are here : AllRefer.com Health Epidural Abscess : Symptoms of Epidural Abscess Epidural Abscess Definition Prevention Treatment Expectations or Prognosis ... Go To Main Page Alternate Names : Abscess - Epidural, Spinal Abscess Spinal epidural abscess: Fever and back pain (the back pain may be confined to the spine or may radiate to the arms or legs) Bowel or bladder incontinence Difficulty urinating (urinary retention) Intracranial epidural abscess: Headache , fever, lethargy, nausea and vomiting (if associated with sinusitis or chronic ear infections, there may be localized pain in those areas) Progressive pain at the site of recent surgery (neurosurgery), especially if accompanied by fever

13. Epidural Abscess An epidural abscess is caused by infection in the area between the bones of the skull or spine is classified as an intracranial epidural abscess if it is located in http://origin.www.healthscout.com/ency/article/001416.htm

Advertisement Search HealthScout Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Healthscout News 3D Interactive Human Atlas Health Videos Health Encyclopedia ... Drug Library Channels Home Today Women Men ... Drug Checker Advertisement Disease Injury Nutrition Poison ... Prevention Epidural abscess Definition: An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. Alternative Names: Abscess - epidural; Spinal abscess Causes, incidence, and risk factors: An epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as an intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the

14. Epidural Abscess - Information / Diagnosis / Treatment / Prevention home neurological disorders spinal cord epidural abscess epidural abscess. Information • Diagnosis • Treatment • Prevention. http://www.healthcyclopedia.com/neurological-disorders/spinal-cord/epidural-absc

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... spinal cord > epidural abscess Epidural Abscess Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Medical Definition Health News Web Directory: Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "epidural abscess" Health News: Search millions of published articles for news on Epidural Abscess Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: Emergency Medinice An introduction to spinal epidural abscess, the clinical features, work up, treatment, medicine and follow up. Yahoo Health A detailed look at epidural abscess including treatment, causes, incidence, risk factors, symptoms, prevention and testing. Notes: Healthcyclopedia presents health information in the form of websites and articles that encompass conventional medicine and alternative treatments Under no circumstances can it recommend or endorse a specific drug or therapy or treatment.

15. Epidural Abscess An epidural abscess is caused by infection in the area between the bones of the skull or spine is classified as an intracranial epidural abscess if it is located in http://www.healthscout.com/ency/article/001416.htm

Advertisement Search HealthScout Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Healthscout News 3D Interactive Human Atlas Health Videos Health Encyclopedia ... Drug Library Channels Home Today Women Men ... Drug Checker Advertisement Disease Injury Nutrition Poison ... Prevention Epidural abscess Definition: An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. Alternative Names: Abscess - epidural; Spinal abscess Causes, incidence, and risk factors: An epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as an intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the

16. Pictures Of Epidural Abscess Complicating Frontal Sinusitis *  Otolaryngology H epidural abscess, A complication of frontal sinusitis. CT scan shows pus in frontal sinus and epidural abscess. Trephination sinus. http://www.ghorayeb.com/FrontalEpiduralAbscess.html

@import url(/~media/elements/Text/font_styles.css); Professional Information Office Information What is Otolaryngology? Post-Op Information ... Home Otolaryngolgy Houston WWW.GHORAYEB.COM Epidural Abscess, A Complication of Frontal Sinusitis This page was last updated on: July 21, 2003 Back to Pictures Anatomy of the Sinuses Intracranial Complications Pott's Puffy Tumor ... Home Axial CT scan shows an epidural abscess secondary to acute frontal sinusitis, The CT frome to the right shows complete opacification of thefrontal sinus and erosion of the septum separating the right and left frontal sinuses. Bilateral frontal sinus trephination was performed and the sinus was drained and irrigated through the red rubber tubes left in the sinus cavity.

17. Epidural Abscess epidural abscess. Definition epidural abscess is a rare disorder. Nine out of ten cases are located in the spine (spinal epidural abscess). http://www.drkoop.com/ency/article/001416.htm

Advertisement Search Dr. Koop Web MEDLINE Special Offers TV Specials Top Features Schizophrenia Hair Loss Liver Disease Allergies ... Impotence Resources Subscribe to our Free Newsletter Health Encyclopedia ... Privacy Policy Advertisement Advertisement Disease Injury Nutrition Poison ... Prevention Epidural abscess Definition: An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. Alternative Names: Abscess - epidural; Spinal abscess Causes, incidence, and risk factors: An epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as an intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the

18. ► Epidural Abscess Home Medical Reference Encyclopedia (English) Toggle English / Spanish epidural abscess. epidural abscess is a rare disorder. http://www.umm.edu/ency/article/001416.htm

Disease Nutrition Surgery Symptoms Injury ... Z Maryland Medical Center Programs Department of Orthopaedics Home Medical Reference Encyclopedia (English) Toggle English Spanish Epidural abscess Overview Symptoms Treatment Prevention Definition: An inflammation including a collection of infected material (pus) between the dura (the outer membrane covering of the brain and spinal cord), and the bones of the skull or spine. Alternative Names: Abscess - epidural Causes, incidence, and risk factors: Epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the abscess in response to the infection.

19. UCLA NEUROSURGERY | Spinal Disorders & Diseases SPINAL DISEASES DISORDERS Spinal epidural abscess. What is a spinal epidural abscess? A How common is spinal epidural abscess? The http://neurosun.medsch.ucla.edu/Diagnoses/Spinal/SpinalDis_14.html

Spinal Epidural Abscess COMPREHENSIVE SPINE PROGRAM COMPREHENSIVE SPINE DIAGNOSES INDEX What is a spinal epidural abscess? A spinal epidural abscess is an infection localized to the epidural space in the spinal column. The epidural space is between the bony spine and the dura mater. This infection can result in compression of the spinal cord and nerves as they leave the spinal canal. How common is spinal epidural abscess? The incidence of spinal epidural abscess is approximately 0.2 - 1.2 per 10,000 hospital admissions annually. The average age of patients with this condition is 57 years. 65% of patients with spinal epidural abscess have chronic disease associated with compromised immunity. Other associated conditions include diabetes mellitus (32%), IV drug abuse (18%), chronic renal failure (12%), and alcoholism (10%). Where are spinal epidural abscesses located? The thoracic level is the most common site reported (50%), followed by lumbar (35%) then cervical (15%). 82% of the infections are posterior (located toward the back), while 18% are anterior (located toward the front). What are the clinical features of a spinal epidural abscess?

20. Spinal Epidural Abscess Spinal epidural abscess,. Print this article, (also called spinal dural empyema). The spinal epidural Spinal epidural abscess, Fig. 1. a, b http://www.amershamhealth.com/medcyclopaedia/medical/Volume VI 1/SPINAL EPIDURAL

Amershamhealth.com Search for: Type a word or a phrase. All forms of the word are searchable. Browse entry words starting with: A B C D ... Other characters Spinal epidural abscess, (also called spinal dural empyema). The spinal epidural space, being a true space which is filled with fat and vessels, is much more susceptible to infection than the intracranial epidural space, where the dura mater is tightly laminated to the inner layer of the skull and infection is more likely to occur in the subdural space. The estimated incidence of spinal epidural abscess is approximately 2.8 cases per 10,000 admissions to large tertiary-care centres, the range of age being very broad from 3 months to 81 years without gender prevalence. Infection in the spinal epidural space may occur by haemotogenous or local spread. Infection through local spread usually occurs as a result of osteomyelitis, retropharyngeal, or perinephritic and psoas abscesses, or it may be iatrogenic (surgery or percutaneous procedures) or traumatic (penetration injuries) in nature. When the infection is transmitted through the haematogenous route the source of infection is more often localized in the soft tissues, or it can be an endocarditis, an infection of the respiratory system, a dental abscess, an infection of the lower abdomen. Underlying medical conditions such as diabetes, alcoholism, intravenous drug abuse, cirrhosis, malignancies and renal failure are found to be associated. The clinical picture is that of backpain and focal vertebral pain followed by radiculopathy, paresthesias and spinal cord dysfunction starting with sensory deficit and bowel disturbances and ending with paralysis, with a pre-existing febrile context. More acute presentations suggest the haematogenous route whereas a slow onset is more characteristic of a gradually expanding contiguous infection.

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