Spinal epidural empyema

Pilkington, Sophie; Jackson, Shirley; Gillett, Grant

doi:10.1080/0268869031000108990

Cited by 28 publications

(40 citation statements)

References 6 publications

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“…Cases reported include this sequential picture together with selected components of the classical manifestation,3–5 7–9 although neck/back pain was clearly shown to be the most common symptom 3–9. It is therefore not surprising that with the rarity of this condition juxtaposed with the ubiquity of back pain, making a swift diagnosis can prove difficult 6.…”

Section: Discussionmentioning

confidence: 99%

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A rare presentation of spinal epidural abscess

Crowest

Hughes²,

Elkins³

et al. 2011

Case Reports

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Section: Discussionmentioning

confidence: 99%

“…The non-specific presentations of this challenging condition often lead to a delay in diagnosis and subsequent treatment, which inevitably results in poorer outcomes 3–5. The mean age affected is 50–60 years, and there appears to be a slight male preponderance, with ratios reported up to 2:1 6.…”

Section: Discussionmentioning

confidence: 99%

A rare presentation of spinal epidural abscess

Crowest

Hughes²,

Elkins³

et al. 2011

Case Reports

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“…[2][3][4] There is no accurate reported incidence of holocord SEA in the literature. 5 The incidence is also felt to be on the rise, which is thought to be due to increasing IV drug use, chronic immunosuppression, and the increasing number of spinal surgeries being performed.…”

Section: Case Reportmentioning

confidence: 98%

Holocord spinal epidural abscess in a pregnant patient presenting as premature labour: a rare presentation of an unusual diagnosis

Burton

Wang

Dhanoa

2014

CJEM

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Spinal epidural abscess (SEA) is a rare clinical entity. It is less common when the entire epidural space is involved, known as a holocord or panspinal SEA, and it is even less common in a pregnant patient. We report a case of methicillin-resistant Staphylococcus aureus holocord SEA in a 30-year-old female at approximately 22 weeks' gestational age who presented with lumbar pain and pelvic pressure and the urge to bear down. Magnetic resonance imaging of the spine demonstrated extensive SEA and meningitis from the foramen magnum to the lumbar spine that was treated both medically and surgically. The incidence of, clinical presentation of, and risk factors for developing SEA are discussed. If untreated, expanding SEAs produce sensory symptoms and signs, motor dysfunction, and, eventually, paralysis and death. The medical and surgical management of SEA is also discussed. SEA can have an insidious and atypical presentation despite extensive involvement of the epidural space. Therefore, the diagnosis of SEA should always be considered in patients who present to the emergency department with back pain. RÉ SUMÉL'abcè s é pidural rachidien (AER) est une entité clinique rare; celui-ci l'est encore plus lorsque l'abcè s envahit tout l'espace é pidural-on le qualifie alors de panrachidien-et il devient rarissime chez une femme enceinte. Ainsi sera exposé , dans le pré sent article, un cas d'abcè s é pidural panrachidien à Staphylococcus aureus ré sistant à la mé thicilline, chez une femme de 30 ans, enceinte d'environ 22 semaines, qui a consulté pour des douleurs lombaires, une pression pelvienne et l'envie impé rieuse de pousser. L'imagerie par ré sonance magné tique de la colonne verté brale a ré vé lé la pré sence d'un important AER et d'une mé ningite s'é tendant du trou occipital à la colonne lombaire, qui a né cessité un traitement mé dical et chirurgical. Il sera question de la fré quence, du tableau clinique, et des facteurs de risque de l'AER. Non traité e, l'affection produit des signes et symptô mes sensoriels ainsi que des troubles moteurs, qui finissent par é voluer vers la paralysie et la mort. Le traitement mé dical et chirurgical de l'AER fera é galement l'objet de discussion. Ce dernier peut se manifester par un tableau insidieux et atypique malgré l'é tendue de l'atteinte de l'espace é pidural. Aussi faudrait-il toujours envisager la possibilité d'un AER chez les patients qui consultent au service des urgences pour des dorsalgies.

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“…A differentiation between abscess and hematoma in a postoperative patient is usually not possible. 103 …”

Section: Epidural Hematoma and Abscessmentioning

confidence: 99%