JOURNAL ARTICLE
REVIEW
Add like
Add dislike
Add to saved papers

Spinal epidural abscess in adults.

Spinal epidural abscess is a potentially life-threatening disease that can cause paralysis by the accumulation of purulent material in the epidural space. Although modern diagnostic and management methods have improved the prognosis, morbidity and mortality remain significant. Outcome usually is determined by the rapidity of the diagnosis and initiation of appropriate treatment. A high index of suspicion is warranted when a patient presents with spinal pain or a neurologic deficit in conjunction with fever or an elevated erythrocyte sedimentation rate. Gadolinium-enhanced magnetic resonance imaging should be done in suspected cases to localize and define the abscess. For spinal epidural abscess associated with neurologic compromise, the treatment of choice is emergent surgical decompression and débridement (with or without spinal stabilization), followed by long-term antimicrobial therapy. In the absence of a neurologic deficit, medical management is an alternative to surgery when the risk of neurologic complications is low based on the location and morphology of the abscess, immune status of the patient, and virulence of the organism.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app