1. EMedicine - Spinal Epidural Abscess : Article By J Stephen Huff, MD An introduction to spinal epidural abscess, the clinical features, work up, treatment, medicine and follow up. http://www.emedicine.com/NEURO/topic349.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Neurology Neurological Infections Spinal Epidural Abscess Last Updated: April 4, 2005 Rate this Article Email to a Colleague Synonyms and related keywords: spinal cord compression, vascular compromise, vertebral osteomyelitis, epidural space infection, Staphylococcus aureus, Staphylococcus species, Pseudomonas species, Escherichia coli, Mycobacterium tuberculosis, spinal cord dysfunction, localized spinal pain, radicular pain and paresthesias, muscular weakness, sensory loss, sphincter dysfunction, paralysis AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Clinical Differentials ... Bibliography Author: J Stephen Huff, MD , Associate Professor of Emergency Medicine and Neurology, Department of Emergency Medicine, University of Virginia Health System J Stephen Huff, MD, is a member of the following medical societies: American Academy of Emergency Medicine American Academy of Neurology American College of Emergency Physicians , and Society for Academic Emergency Medicine Editor(s): Edward Hogan, MD

2. Dr. Koop - Epidural Abscess An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

3. EMedicine - Epidural Abscess : Article By Gopala K Yadavalli, MD epidural abscess An epidural abscess may be defined as pus in the space between the dura mater of the brain or spinal cord and the overlying bone. http://www.emedicine.com/med/topic2439.htm

(advertisement) Home Specialties Resource Centers CME ... Patient Education Articles Images CME Patient Education Advanced Search Consumer Health Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Infectious Diseases Epidural Abscess Last Updated: July 27, 2004 Rate this Article Email to a Colleague Synonyms and related keywords: spinal epidural abscess, SEA, intracranial epidural abscess, IEA, increased intracranial pressure, ICP AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Gopala K Yadavalli, MD , Fellow, Department of Internal Medicine, Division of Infectious Diseases, University Hospitals of Cleveland and Case Western Reserve University Coauthor(s): Robert A Salata, MD , Chief and Clinical Program Director of Division of Infectious Diseases, Vice Chair for International Affairs, Professor, Department of Medicine, Case Western Reserve University School of Medicine Gopala K Yadavalli, MD, is a member of the following medical societies:

4. EMedicine - Spinal Epidural Abscess Article By J Stephen Huff, MD An introduction to spinal epidural abscess, the clinical features, work up, treatment, medicine and follow up. http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

5. MedlinePlus Medical Encyclopedia: Epidural Abscess An epidural abscess is an inflammation that includes a collection of An epidural abscess is caused by infection in the area between the bones of the http://www.nlm.nih.gov/medlineplus/ency/article/001416.htm

@import url(/medlineplus/images/advanced.css); Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Epidural abscess Contents of this page: Alternative names Definition Causes, incidence, and risk factors Symptoms ... Prevention Alternative names Abscess - epidural; Spinal abscess Definition Return to top An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. Causes, incidence, and risk factors Return to top An 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 an 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 abscess in response to the infection.

6. Spinal Epidural Abscess The Importance Of Early Diagnosis And Spinal epidural abscess the importance of early diagnosis and treatment http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

7. Spinal Epidural Abscess: A Diagnostic Challenge - April 1, 2002 - American Famil epidural abscess of the spinal column is a rare condition that can be fatal Risk factors for epidural abscess include immunocompromised states such as http://www.aafp.org/afp/20020401/1341.html

Advanced Search AAFP Home Page Journals Vol. 65/No. 7 (April 1, 2002) Spinal Epidural Abscess: A Diagnostic Challenge DEARDRE CHAO, M.D., M.S., and ANIL NANDA, M.D. Louisiana State University Health Sciences Center, Monroe, Louisiana Epidural abscess of the spinal column is a rare condition that can be fatal if left untreated. Risk factors for epidural abscess include immunocompromised states such as diabetes mellitus, alcoholism, cancer, and acquired immunodeficiency syndrome, as well as spinal procedures including epidural anesthesia and spinal surgery. The signs and symptoms of epidural abscess are nonspecific and can range from low back pain to sepsis. The treatment of choice in most patients is surgical decompression followed by four to six weeks of antibiotic therapy. Nonsurgical treatment may be appropriate in selected patients. The most common causative organism in spinal epidural abscess is Staphylococcus aureus. A PDF version of this document is available. Download PDF now (6 pages / 184 KB).

8. Spinal Epidural Abscess The Importance Of Early Diagnosis And Spinal epidural abscess the importance of early diagnosis and treatment http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

9. EMJA: An Unusual Cause Of An Epidural Abscess (Medical Journal of Australia) An unusual cause of an epidural abscess. http://www.mja.com.au/public/issues/180_01_050104/van10459_fm.html

Home Issues Email alerts Classifieds ... Search PubMed for related articles Diagnostic Dilemma An unusual cause of an epidural abscess Sebastiaan J van Hal and Jeffrey J Post MJA Introduction Clinical record Discussion Acknowledgements ... Author details 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. Localised back pain and fever are important symptoms, which may indicate an epidural abscess or vertebral osteomyelitis. In assessing such a patient, a sexual history is often omitted, but it can provide useful information, as illustrated here. Clinical record Presentation (Day 0): A 30-year-old man presented to hospital with an 8-day history of progressive severe thoracic back pain and a 5-day history of left knee pain. The back pain had occurred suddenly after lifting weights, and radiated to the right chest wall. Chiropractic manipulation and paracetamol had been unsuccessful in relieving the pain. His family history in relation to rheumatological or inflammatory disorders was unremarkable, and he had never used intravenous drugs. He had no symptoms of fever, conjunctivitis, urethritis, rash, early morning joint stiffness or neurological dysfunction.

10. MedlinePlus Medical Encyclopedia Epidural Abscess epidural abscess Contents of this page Alternative names. Definition. Causes, incidence, and risk factors. Symptoms. Signs and tests http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

11. Spinal Infection: 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 and generat http://www.spineuniverse.com/displayarticle.php/article205.html

The World Leader in Back Pain Care Home Patients Professionals Find a Doctor ... Pain Management SEARCH Make SpineUniverse my Home Page patient>conditions>infection Use FREE SpineUniverse Tools. Enter your Zipcode and we'll show you the best doctors and treatments in your area. Spinal Infection: Epidural Abscesses Richard T. Holt, M.D. Orthopaedic Surgeon Michael J. Young, M.D. Infections of the Spine Blood Tests and Other Laboratory Tests Drop Foot (Foot Drop) and Steppage Gait (Footdrop Gait) Safety First: Prescription Medications and You ... CD HORIZON ANTARES Spinal System: Introduction Article written 00/00/0000 Published online 00/00/0000 Last updated 08/19/2004 What do you think? (5 is best) Was this article easy to understand? Did this article answer your questions? How would you rate this article? Warren D Yu, MD Washington, DC Adriaan W Liebenberg, MD Paarl, Western Province Magdalena M Gutierrez, MD Leon, Guanajuato Dr. Liam P. Schubel, DC Lima, Lima Get Local Results! Find More Professionals //Right Skyscraper DisplayAds ("Right1!Right1", "120", "600") Sponsor Information Click to Order Now!

12. EMJA An Unusual Cause Of An Epidural Abscess (Medical Journal of Australia) An unusual cause of an epidural abscess http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

13. 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

14. Epidural Abscess An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

15. UpToDate Epidural Abscess INTRODUCTION — epidural abscess is a rare but important suppurative infection Two distinct varieties of epidural abscess occur spinal epidural abscess http://patients.uptodate.com/topic.asp?file=cns_infe/5810

16. Contrast Enhancement Of Cerebrospinal Fluid On Delayed MRI In A Contrast enhancement of cerebrospinal fluid on delayed MRI in a patient with an epidural abscess and renal failure P Zatman, MB BSc, MRCS and http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

17. Abstracts For References 1-3 Of 'Epidural Abscess' TI Update on spinal epidural abscess 35 cases and review of the literature. Thirty-five cases of spinal epidural abscess were evaluated http://patients.uptodate.com/abstract.asp?TR=cns_infe/5810&viewAbs=1~2~3&title=1

18. Epidural Abscess A Delayed Complication Of Esophageal Stenting epidural abscess a delayed complication of esophageal stenting for benign stricture Nicholas M. Boulis, MDa , Wendy S. Armstrong, MDb http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

19. Dr. Koop - Epidural Abscess An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and http://www.drkoop.com/ency/93/001416.html

Home Health Reference Epidural abscess Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Epidural abscess Injury Disease Nutrition Poison ... Prevention Epidural abscess Definition: An epidural abscess is an inflammation that includes a collection of infected material (pus) located between the outer membrane covering the brain and spinal cord (the dura) and the bones of the skull or spine. Alternative Names: Abscess - epidural; Spinal abscess Causes, incidence, and risk factors: An 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 an 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 abscess in response to the infection.

20. Inappropriate Medical Management Of Spinal Epidural Abscess Inappropriate medical management of spinal epidural abscess P Harringtona, P A Millnera, D Vealeb http://tmsyn.wc.ask.com/r?t=an&s=hb&uid=24312681243126812&sid=343126

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