Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Epidural Abscess”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 289 records · Page 16Linked to original sources
PubMed2000

Surgical treatment for epidural abscess in the posterior cranial fossa using trapezius muscle or musculocutaneous flap.

Two patients developed an epidural abscess in the posterior cranial fossa following tumor dissection from the occipital region of the head and underwent surgical treatment. After debridement of necrotic and infectious tissues inside the abscess was performed, the empty cavity was filled and the tissue defect was reconstructed by using a trapezius muscle flap or a trapezius musculocutaneous flap. Both patients had good clinical results, and their abscesses were healed. The trapezius muscle flap and trapezius musculocutaneous flap were quite useful in the treatment for epidural abscess in the posterior cranial fossa.

Journal Article↗
PubMed1999

Spinal epidural abscess: a review of epidemiology, diagnosis, and treatment.

Despite advances in neuroimaging and neurosurgical treatment, spinal epidural abscess (SEA) remains a challenging problem for the practicing physician. Early diagnosis is often elusive, and treatment is delayed. The optimal management of SEA is not clearly defined, and morbidity and mortality remain significant. In this review article, we discuss contemporary issues surrounding SEA. In addition, we shed light on the epidemiology of this potentially devastating disease and outline current diagnostic and therapeutic guidelines. We find the frequency of diagnosis of SEA is increasing. To prevent serious morbidity and mortality, early diagnosis and prompt treatment are essential. Patients who are at high risk for developing such abscesses should have an immediate magnetic resonance scan with contrast enhancement. Surgical drainage and prolonged antibiotic use are the cornerstones of treatment, although selected patients may be treated nonsurgically with very vigilant medical follow-up.

Abscess↗
PubMed1995

[A case of multiple myeloma complicated by acute transverse myelopathy due to epidural abscess].

A 51-year-old man developed fever and lumbago followed by rapidly progressive bilateral sensory disturbance below the 9th thoracic spinal cord level, flaccid paraplegia, urinary obstruction and constipation. Based on radiological examinations and laboratory findings, a diagnosis of transverse myelopathy due to epidural abscess was made. A series of MRI studies revealed multiple abscess formation in the paravertebral muscles. Hypergammaglobulinemia with M protein was observed continuously, and further examination revealed multiple myeloma in the early stage. Since it has been reported that several different immunosuppressive mechanisms precede the development of bone lesions in multiple myeloma, these mechanisms may have played an important role in the rapid progression of the abscess in this patient. Multiple myeloma is not only important as one of the disorders underlying epidural abscess of unknown etiology, but important in predisposing to severe infection as a result of the immunosuppressive mechanisms present starting in the early stage of the disease.

Abscess↗
PubMed1996

Cervical discitis associated with spinal epidural abscess caused by methicillin-resistant staphylococcus aureus.

A 53-year-old male developed fever, nuchalgia, shoulder pain, and sore throat after a partial sigmoidectomy. He suffered sudden onset of quadriplegia about 5 days later. Magnetic resonance (MR) imaging indicated the characteristic appearance of C5-6 intervertebral disc herniation. However, anterior discectomy showed that he had cervical discitis associated with spinal epidural abscess. Continuous pus drainage from the abscess and vigorous antibiotic therapy were undertaken after surgery. He improved and could walk with assistance. MR imaging with gadolinium can be useful in diagnosing pyogenic spinal infection (epidural abscess, osteomyelitis, and discitis), but care should be taken in MR image interpretation since spinal epidural abscess associated with discitis may mimic disc herniation. Axial MR images are important to distinguish this rare disease from other cervical disorders.

Abscess↗
PubMed2004

An unusual cause of an epidural abscess.

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.

Adult↗
PubMed1977

Spinal epidural abscess.

This paper describes problems in the diagnosis and management of six patients with spinal epidural abscess. Since the clinical findings in this disease process are frequently misinterpreted, one must be careful to exclude this diagnosis in any patient with fever, leukocytosis, back pain and recent infection or back trauma. Alcoholic patients, in particular, seem at high risk for missed diagnosis since the clinical findings are frequently misinterpreted to be complications of alcoholism. Suspicion of spinal epidural abscess should lead to immediate lumbar puncture with manometrics as well as myelography. Once the diagnosis is established surgery should be immediate. Gram stains and cultures taken at the time of lumbar puncture or at operation will dictate appropriate antibiotic therapy. The cause of infection can be fairly well determined by the location of the abscess and a knowledge of the pathogenesis. Prognosis seems directly dependent on the preoperative neurologic status of the patient.

Abscess↗
PubMed1998

Acquired neuromyotonia in a patient with spinal epidural abscess.

We report a case of acquired neuromyotonia in a patient with Staphylococcus aureus septicemia and a spinal epidural abscess. Autoantibodies to voltage-gated potassium channels, which are associated with acquired neuromyotonia, were present during the patient's acute illness but became undetectable on clinical recovery. The spinal epidural abscess may have triggered the production of these specific autoantibodies, resulting in clinically and electromyographically detectable neuromyotonia.

Abscess↗
PubMedDate not supplied

Chronic osteomyelitis with epidural abscess: CT and MR findings.

A case of chronic osteomyelitis in the occipital bone associated with underlying chronic epidural abscess was diagnosed by skull radiography, CT, and MR. Skull radiography showed diffuse sclerosis of the occipital bone and dural calcifications. Computed tomography demonstrated thickened sclerotic changes of the osteomyelitic area, dural calcifications, and epidural fluid collection. The area of chronic osteomyelitis displayed, essentially, no signal intensity in the T1-weighted and T2-weighted MR images. The chronic epidural abscess had heterogeneous signal intensity on T1-weighted images and good enhancement after Gd-diethylenetriamine pentaacetic acid administration. On T2-weighted images the abscess had relatively homogeneous high signal intensity.

Abscess↗
PubMed1984

Epidural abscess complicating Swenson procedure: a case report and a review of the literature.

A case is reported in which an anastomotic leak following the Swenson procedure for Hirschsprung's disease was complicated by the development of a pelvic abscess that communicated freely with the epidural space. The child presented with signs and symptoms of an epidural abscess, but his myelogram was normal. The diagnosis was made by urografin enema. The child was treated by defunctioning colostomy and drainage of the pelvic abscess by enlarging the defect at the anastomosis site digitally. The epidural space drained freely to the pelvis and therefore laminectomy was not required. The possible etiology of such a communication is discussed.

Abscess↗
PubMed1993

Spinal epidural abscess: unusual CT and microbiologic findings.

The incidence of spinal epidural abscess is increasing. Its expeditious diagnosis is essential if treatment is to be effective. The authors present a case in which both the computed tomography appearance and the microbiologic observations were unusual.

Abscess↗
PubMedDate not supplied

Multiple epidural abscesses and spinal anesthesia in a diabetic patient. Case report.

BACKGROUND AND OBJECTIVES: Spinal anesthesia as a cause of epidural abscess is extremely rare. Infection at the site of needle placement is the usual cause of abscess formation. METHODS: Immunocompromised patients, and in this case a diabetic patient may be at higher risk for this complication. RESULTS: Anesthesiologist need to be aware of factors that may lead to epidural abscess formation. CONCLUSIONS: The signs and symptoms of this unfortunate complication should be uppermost in the physician's mind when assessing new neurologic deficits after regional anesthesia.

Abscess↗
PubMed1977

Spinal epidural abscess in pregnancy.

A case of spontaneous epidural abscess occuring in a pregnant woman is reported. Some delay in diagnosis occurred. Decompression resulted in prompt recovery and improvement of a mild neurological deficit.

Abscess↗
PubMed1998

Spinal epidural abscess: the importance of early diagnosis and treatment.

OBJECTIVES: To remind clinicians of the dangers of delayed diagnosis and the importance of early treatment of spinal epidural abscess. METHODS: A review of the literature on spinal epidural abscess and a comparison of the published literature with local experience. RESULTS: Imaging with MRI or CT enables early diagnosis of spinal epidural abcess and optimal therapy is surgical evacuation combined with 6-12 weeks (median 8 weeks) of antimicrobial chemotherapy. Clinical features are fever, pain, and focal neurological signs and may be associated with preceding and pre-existing bone or joint disease. The commonest aetiological organism is S aureus. CONCLUSION: Early diagnosis and appropriate early antimicrobial chemotherapy with surgery is associated with an excellent prognosis.

Abscess↗
PubMed1999

Spinal epidural abscess - a report of six cases.

Six cases of spinal epidural abscess are presented. All patients were young with no predisposing conditions. All were treated with laminectomy and intravenous antibiotics. The patients with no neurological deficit recovered completely, while patients with pre-existing neurological deficit had a poorer outcome. Emphasis is given to early detection and surgical management to prevent irreversible damage to the spinal cord.

Adolescent↗
PubMed1994

Spinal epidural abscess. Diagnosis and management.

Three cases of spinal epidural abscess managed at the University Hospital of the West Indies are presented. This disorder, a neurosurgical emergency, runs a variable course, and, if improperly managed, may lead to paraplegia and death. The aetiology, diagnosis and management of this disease are discussed.

Abscess↗
PubMed1995

Septic arthritis in a lumbar facet joint: a rare cause of an epidural abscess.

A 10-year-old boy presented with a 7-day history of back pain and pyrexia. MRI showed an epidural abscess arising from septic arthritis in a lumbar facet joint. Whilst septic arthritis in a large joint is relatively common in children, epidural abscess is rare. This case illustrates how infection in a synovial joint may extend into the extradural space and might be the route of infection in more cases than has previously been recognised.

Abscess↗