Spinal Epidural Abscess


Epidemiology

Risk Factors for Spinal Epidural Abscess


Spinal Cord Anatomy and Physiology

Spinal Cord

Epidural Space

SPINAL CORD


Etiology

Bacteremia with Hematogenous Spread to Epidural Space (approximately 50% of cases)

Contiguous Spread to Epidural Space (approximately 33% of cases)

Unknown Portal on Entry Into Epidural Space (up to 17% of cases)


Physiology

Patterns of Spread To/From Epidural Space

Mechanisms of Spinal Cord Injury in Spinal Epidural Abscess


Microbiologic Etiology


Diagnosis


Clinical

Classical Triad of Clinical Symptoms/Signs

Clinical Stages

Typical Clinical Symptoms/Signs

Misdiagnosis/Mismanagement of Epidural Abscess [MEDLINE]

Complications


Treatment

Neurosurgical Drainage/Evacuation of Inflammatory Tissue

Therapeutic Needle Aspiration of Epidural Abscess

Antibiotics

Removal of Spinal Hardware

Corticosteroids (see Corticosteroids, [[Corticosteroids]])

Post-Acute Care


Prognosis:


References