41. Diagnosis And Management Of Spinal Epidural Abscess - Medifocus Guide Diagnosis and Management of Spinal epidural abscess Medifocus Guide, Article Spinal epidural abscess a review of epidemiology, diagnosis, and treatment. http://catalog.nucleusinc.com/generateexhibit.php?ID=2966&ExhibitKeywordsRaw=&TL

42. Medi-Fax Atlas Series - Epidural Abscess epidural abscess. Contributor Dr. Chris Ekong. Case 1. MRI of Cervical spine showing C34 epidural abscess. A Project of The Emmanuel Charitable Foundation. http://www.medi-fax.com/atlas/spineinfection/case1.html

Medi-Fax Home Previous Page Medi-Fax Atlas Series Atlas of Spine - Infections Editor: Dr. Chris Ekong Navigation Atlas Series Health Information CDs Health Information Centre ThinkFirst Web Pages ... Links Epidural Abscess Contributor: Dr. Chris Ekong Case 1 Age: Sex: Female History: Sudden severe neck pain in an immunosupressed lady with renal failure who has been receiving dialysis for last 3 years. Examination showed slight tenderness in the cervical region. Pre-op X-Rays MRI of Cervical spine showing C34 epidural abscess. A Project of The Emmanuel Charitable Foundation Last Updated: May 29, 2003

43. Kussman Whithill He had an infection surrounding his spinal cord ( epidural abscess ), but the doctors failed to do appropriate tests or make proper diagnosis. http://www.lawinfo.com/forum/kussman/sterkin-.html

Settlement Report Form Case Name: UNDISCLOSED Case #: (PASADENA) Type of Case: Medical Malpractice Date Settled: Department: A Settlement: $1,900,000.00 Cash TOTAL Disbursements: Payment: Pltf.Atty.: RUSSELL S. KUSSMAN Firm: Deft.Atty.: DO NO HAVE AUTHORITY Firm Yes/No Deft.Atty.: TO DISCLOSE DEFENSE COUNSEL Firm Yes/No Deft.Atty.: NAMES Firm Yes/No Pltf(s). Age: Pltf(s). Occupation: Owner of Trucking Company Date of incident: Facts of the case: 62 year old diabetic man entered hospital with foot ulcer, back pain and fever. He came under the care of multiple pysicians. He had an infection surrounding his spinal cord ("epidural abscess"), but the doctors failed to do appropriate tests or make proper diagnosis. The infection worsened, causing pressure on the spinal cord and, ultimately, permanent damage and quadriplegia. Finally, surgery was done to drain the abscess, but it was too late. Pltf(s). Contentions: Defendants failed to consider epidural abscess, and therefore failed to make a proper and timely diagnosis. This was below thestandard of care and resulted in permanent spinal cord injury. They failed to do a lumbar puncture until it was too late. They failed to properly perform and interpret a CT scan of the cervical spine. Injuries: Incomplete quadriplegia, loss of bowel and bladder control, recurrent decubitus ulcers, permanent colostomy. Past Meds: Approx. $700,000 TOTAL = $

44. American Family Physician: Spinal Epidural Abscess: A Diagnostic Challenge You are Here Articles American Family Physician April 1, 2002 Article. Spinal epidural abscess A Diagnostic Challenge. American http://www.findarticles.com/cf_dls/m3225/7_65/84378093/p1/article.jhtml

@import url(/css/us/style.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); Advanced Search Home Help IN all publications this publication Health Automotive Business Computing Entertainment Health News Reference Sports YOU ARE HERE Articles American Family Physician April 1, 2002 Content provided in partnership with Print friendly Tell a friend Find subscription deals Spinal Epidural Abscess: A Diagnostic Challenge American Family Physician April 1, 2002 by Deardre Chao Anil Nanda Spinal epidural abscess has an estimated incidence rate of 0.2 to 2.8 cases per 10,000 per year, with the peak incidence occurring in people who are in their 60s and 70s. The most common causative agent is Staphylococcus aureus.(1,2) Epidural abscess caused by actinomycosis is rare; fewer than 80 cases have been reported since the organism was identified in 1878.(3,4) The incidence of spinal epidural abscess appears to have increased in the United States since the 1980s, possibly because of an increase in the age of the population, the number of spinal procedures performed,(5,6) intravenous (IV) drug abuse, and the number of patients with acquired immunodeficiency syndrome (AIDS).(7) Associated predisposing conditions include a compromised immune system such as occurs in patients with diabetes mellitus, AIDS, chronic renal failure, alcoholism, or cancer,(8-10) or following epidural anesthesia, spinal surgery, or trauma(11) (Table 1). No predisposing condition can be found in 20 percent of patients with spinal epidural abscess, and the condition has been reported in patients with no predisposing risk factors.(12)

45. Epidural Abscesses epidural abscesses are infections that form in the space around the dura, the tissue envelope that surrounds the spinal cord and nerve root. http://www.spineuniverse.com/conditions/detail/epidural_abcess.html

USE THE MENU BAR ABOVE!!! Our site has been totally redesigned and upgraded with the latest technology. You have reached this page from a bookmark, or from a search engine. We have disabled all links in the page below. Please CLICK HERE to enter the totally new SpineUniverse site. Your old page is found below Search for Click to Visit Sponsor Epidural Abcesses Michael J. Young, M.D. and Richard T. Holt, M.D. Osteomyelitis Common Conditions Treatment Index Surgery Index Home About Contact Privacy User Agreement Partners

46. Brucellar Spinal Epidural Abscess With No Concomitant Spondylodiscitis - Eurorad teaching files,radiology,Brucellar spinal epidural abscess with no concomitant spondylodiscitis,The patient presented with progressive low back pain http://www.eurorad.org/case.cfm?uid=1346

47. MRI Findings Of Spinal Epidural Abscess Caused By teaching files,radiology,MRI findings of spinal epidural abscess caused by i Mycobacterium tuberculosis /i ,The patient presented with back pain of 10 months http://www.eurorad.org/case.cfm?uid=1768

48. Spinal Epidural Abscess 26, 1996. Spinal epidural abscess. Suggested Reading. Darouiche, RO, Hamill, RJ, Greenberg, SB, Weathers, SW, Musher, DM Bacterial Spinal epidural abscess. http://www.ccm.lsuhsc-s.edu/bugbytes/Volume3/bb-v3n2.htm

Bug Bytes Volume 3 Number 2 - Sept. 26, 1996 Spinal Epidural Abscess Etiology Although virtually any organism can cause SEA, Staphylococcus aureus causes 60-90% of all cases. Less common pathogens include M. tuberculosis, fungi, and even parasites. Diagnosis The combination of back pain, fever, and local vertebral tenderness upon palpation or percussion of the spine strongly suggests a SEA. This triad constitutes adequate reason to obtain a Magnetic Resonance Imaging (MRI) scan and to request neurosurgical help in evaluating the patient. Approximately 66% of patients with SEA present within two weeks of the development of symptoms. Historically, SEA has been characterized by four clinical stages: Stage 1 - Spinal ache; Stage 2 - Root Pain; Stage 3 - Weakness; and Stage 4 - Paralysis. As damage to the spinal cord progresses, the patient may exhibit bowel and bladder dysfunction, weakness or paralysis of the extremities, and sensory deficits. However, neurologic deterioration is highly variable and may not progress from one stage to the next in an orderly manner. Because it is not uncommon for acute SEA to progress from Stages 1 or 2 to Stage 4 (paralysis) in a matter of hours, the utility of staging SEA is questionable. Therapy Traditionally, SEA has been considered a neurosurgical emergency. Standard management of patients with non-tuberculous SEA (NT-SEA) is immediate surgical drainage and decompression followed by six or more weeks of antimicrobial therapy directed against the organism isolated at surgery. Because

49. Delay In Diagnosing Spinal Epidural Abscess Can Result In Residual May 06, 2004. Delay in diagnosing spinal epidural abscess can result in residual deficits. By NewsRx.com. epidural abscess requires http://www.merckmedicus.com/pp/us/hcp/hcp_newsarticle.jsp?newsid=265981&newsgrou

50. Welcome To AJC! Ency. home Disease E epidural abscess. epidural abscess. People who inject drugs are also at increased risk. epidural abscess is a rare disorder. http://www.ajc.com/search/healthfd/shared/health/adam/ency/article/001416.html

Main Contact us Edit profile Subscribe ... Register Now It's Free! Log in E-mail preferences Site Index Search: Site Yellow Pages Customer care ajc.com Nation/World Metro ... Personals ajc services Archives Advertise online Advertise in print Obituaries ... Sitemap Print edition Today This week A1 image E-mail News  Sign up for our  FREE newsletters: News Sports Business Travel Deals ... Logged in? ajc store Gifts Photos/pages Browser tip  Make ajc.com  your homepage: ajc guides Schools Visitors Illustrated Health Encyclopedia Important notice Ency. home Disease E Epidural abscess Overview Symptoms Treatment Prevention Alternative names: Abscess - epidural 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. Causes and Risks 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

51. Welcome To AJC! epidural abscess. epidural abscess is a rare disorder. Nine out of ten cases are located in the spine (spinal epidural abscess). http://www.ajc.com/health/healthfd/shared/health/adam/ency/article/001416.html

Main Contact us Edit profile Subscribe ... Register Now It's Free! Log in E-mail preferences Site Index Search: Site Yellow Pages Customer care ajc.com Nation/World Metro ... Personals ajc services Archives Advertise online Advertise in print Obituaries ... Sitemap Print edition Today This week A1 image E-mail News  Sign up for our  FREE newsletters: News Sports Business Travel Deals ... Logged in? ajc store Gifts Photos/pages Browser tip  Make ajc.com  your homepage: ajc guides Schools Visitors Illustrated Health Encyclopedia Important notice Ency. home Disease E Epidural abscess Overview Symptoms Treatment Prevention Alternative names: Abscess - epidural 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. Causes and Risks 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

52. Medical Encyclopedia BACK, Back to main Health Information page Disease epidural abscess. People who inject drugs are also at increased risk. epidural abscess is a rare disorder. http://www.medstarhealth.org/body.cfm?id=124&action=display&articlenum=1416

53. JW Emergency Medicine -- Sign In Summary and Comment. Spinal epidural abscess A Diagnostic Dilemma. Spinal epidural abscess (SEA) causes permanent neurologic deficits http://emergency-medicine.jwatch.org/cgi/content/full/2004/512/3

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54. Neurological Disorders: Spinal Cord: Epidural Abscess Neurological Disorders Spinal Cord epidural abscess. http://www.puredirectory.com/Health/Conditions-and-Diseases/Neurological-Disorde

Neurological Disorders: Spinal Cord: Epidural Abscess Home Health Conditions and Diseases Neurological Disorders ... Spinal Cord : Epidural Abscess google_ad_client = 'pub-3272565765518472';google_ad_width = 336;google_ad_height = 280;google_ad_format = '336x280_as';google_color_border = 'FFFFFF';google_color_bg = 'FFFFFF';google_ad_channel ='7485447737';google_alternate_color = 'FFFFFF';google_color_link = '0000FF';google_color_url = '008000';google_color_text = '000000'; Standard Listings 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. Help build the largest human-edited directory on the web. Submit a Site Open Directory Project Become an Editor PureDirectory.com uses a modified version of the Open Directory.

55. PC Textbook - Spinal Epidural Abscess Spinal epidural abscess. Kenneth H. Butler, DO, FACEP. Introduction. epidural abscess of the spinal column is a rare but potentially devastating disease. http://www.hypertension-consult.com/Secure/textbookarticles/Primary_Care_Book/56

Spinal Epidural Abscess Kenneth H. Butler, DO, FACEP Back pain is one of the most common complaints among individuals who come to emergency departments (EDs). As for most ED presentations, the physician will initially consider life-threatening conditions (e.g., ruptured abdominal aortic aneurysm) as well as nonurgent conditions (e.g., musculoskeletal strain); unfortunately, spinal epidural abscess (SEA) is rarely included in the differential. Many patients in whom SEA should be considered have a history of narcotic abuse and are written off as coming to the ED to refill their narcotic prescriptions. Others are “bounce-back” patients, who were seen recently in an ED or an outpatient clinic for assessment of back pain and discharged with analgesics but who continued to have pain and thus have returned for medical help. The cornerstone of the diagnosis of SEA lies in contemporary neuroimaging studies. Magnetic resonance imaging (MRI) with gadolinium is currently the diagnostic procedure of choice. Prompt neurosurgical consultation should be initiated as early as possible. Traditionally, the management of SEA has consisted of immediate surgery followed by antibiotic therapy. Surgical management has advantages, most importantly the ability to decompress compromised neural tissues, thereby preventing further neurologic deterioration. In certain patients who are neurologically intact and for whom the surgical morbidity rate is unacceptably high, conservative medical management may be appropriate. An acute epidural abscess should be suspected in patients with back pain and fever, particularly in those who have abused drugs intravenously.

56. Spinal Epidural Abscess: 1-Year Survey Incidence of Spinal epidural abscess after Epidural Analgesia A National 1year Survey Wang LP et al. Anesthesiology. 91(6)1928-36, 1999 Dec. http://www.unc.edu/~rvp/RP_Anesthesia/Articles/Wang-EpidAbscess-Fletcher.html

Incidence of Spinal Epidural Abscess after Epidural Analgesia: A National 1-year Survey Wang LP et al. Anesthesiology. 91(6):1928-36, 1999 Dec. Reviewed by: James Fletcher, MD Summary: This Danish study comments on previous data reporting an incidence of 0/9,232 cases in Sweden, 2/13,000 in Germany, and 3% in a small US study using epidurals for long term management of chronic pain. The present multicenter prospective study collected data on epidural abscesses as they occurred. A denominator was calculated from the number of epidurals placed at each participating hospital. Results: 17,372 epidurals were placed during the study period. 12 possible abscesses were found. 9 were real (2 were subcutaneous infections, 1 a complication from catheter placement): Incidence was 1:1930. By type of hospital: 1:5661 at university hospitals 1:796 at community hospitals. Level: 5 thoracic, 4 lumbar Indications: 6 post-op pain, 2 cancer pain, 1 trauma pain Symptoms: 1 meningitis, 5 febrile, 6 signs of local infection, 6 localized back pain, 7 paraplegic symptoms Staph aureus in 5 pts, coag neg staph in one, no growth in 2

57. Epidural Abscess And Staphylococcus Aureus Endocarditis - A Rare Association. Ma epidural abscess and Staphylococcus aureus endocarditis a rare association. Abstract. epidural abscess is a relatively uncommon disorder. http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2002;volume=50;iss

58. Primary Cutaneous Nocardiosis With Epidural Abscess Caused By Nocardia Brasilien Primary cutaneous nocardiosis with epidural abscess caused by Nocardia brasiliensis a case report. MRI showed an epidural abscess compressing the cord. http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2002;volume=50;iss

59. Radiology, University Of Rochester Medical Center 4). Figure 1. Figure 2. Figure 3. Figure 4. Diagnosis epidural abscess. Discussion Two basic stages are seen in epidural abscesses. Initially http://www.urmc.rochester.edu/smd/Rad/neurocases/Neurocase03.htm

Radiology Home Department Overview Faculty Residency ... Next Case Neuroradiology Case of the Week Case 3 Matthew Cham, MD and and P-L Westesson, MD, PhD, DDS Clinical Presentation A 62-year-old man presented with acute onset quadriplegia and fever. Radiological Findings: Sagittal T2-weighted MR images show an epidural fluid collection centered around the C4/5 disk space ( Fig.1 ). Anterior to the vertebral column there is also slightly increased T2 signal indicating a phlegmon and less likely a fluid collection. These each measure approximately 4 mm in AP dimension. The cervical cord is displaced posteriorly and there is compression of the cord but there is no appreciable signal alterations. The fluid collection is in a left paracentral region ( Fig. 2 The sagittal T1 post-contrast enhanced image ( Fig. 3

60. Spinal Cord Compression - T9-10 Epidural Abscess. - Medical ... Spinal Cord Compression T9-10 epidural abscess. Dramatic Spinal Cord Compression - T9-10 epidural abscess. - Medical Illustration, http://free-file-recovery.net/powershowz-medicalillustration-com.htm

Spinal Cord Compression - T9-10 Epidural Abscess. - Medical ... free-file-recovery.net File Recovery top site: powershowz.medicalillustration.com Spinal Cord Compression - T9-10 Epidural Abscess. - Medical ... Spinal Cord Compression - T9-10 Epidural Abscess. Dramatic ... Spinal Cord Compression - T9-10 Epidural Abscess. - Medical Illustration, ... Directory: Main keywords: spinal cord compression Google Backlinks: 34 http://powershowz.medicalillustration.com/categori http://www.powershowz.com/neweyeintro.swf https://secure.medicalillustration.com/login.php?i http://powershowz.medicalillustration.com free-file-recovery.net Trademarks in " free-file-recovery.net " pages retained by their respective owners. All non-article content in " free-file-recovery.net " is original. Text of " free-file-recovery.net " and " free-file-recovery.net " artwork may not be duplicated without written consent of the author. Illegal copying of " free-file-recovery.net " content or " free-file-recovery.net " artwork will be prosecuted to the full extent of the law. Spinal Cord Compression - T9-10 Epidural Abscess. - Medical ...

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