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  1. Southern Medical Journal CME Topic: epidural intracranial abscess.(CME Topic): An article from: Southern Medical Journal by Kostas N. Fountas, Yazan Duwayri, et all 2004-03-01
  2. Epidural abscess: the missed diagnosis.: An article from: Trial by Randell C. Ogg, 1999-09-01
  3. Spinal epidural abscess after corticosteroid injections.: An article from: Southern Medical Journal by Vijay K. Koka, Anil Potti, 2002-07-01
  4. Favorable outcome of long-lasting thoracic spondylodiscitis with spinal epidural abscess induced by Staphylococcus aureus. (Case Report).: An article from: Southern Medical Journal by Josef Finsterer, Karl Mahr, et all 2003-01-01
  5. Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature.(Review Article): An article from: Southern Medical Journal by Kostas N. Fountas, Yazan Duwayri, et all 2004-03-01
  6. Two cases of spontaneous epidural abscess in patients with cirrhosis.(Letters to the Editor)(Letter to the Editor): An article from: Southern Medical Journal by James Bradley Summers, Joseph Kaminski, 2003-09-01
  7. Spinal epidural abscess--from onset to rehabilitation: case study.(Award Winner): An article from: Journal of Neuroscience Nursing by Margaret Alvarez, 2005-04-01
  8. Two cases of spontaneous epidural abscess in patients with cirrhosis. (Case Report).: An article from: Southern Medical Journal by Raymond K., Jr. Cross, Charles Howell, 2003-03-01
  9. Percutaneous computed tomography-guided needle aspiration drainage of spinal epidural abscess.(Letter to the editor): An article from: Southern Medical Journal by Farhan Siddiq, Asif R. Malik, et all 2006-12-01
  10. Exhibition of a patient operated on for mastoiditis, complicated by epidural abscess by William Sohier Bryant, 1906

21. Epidural Abscess Medical Information
epidural abscess Information from Drugs.com. An epidural abscess is an inflammation that includes a collection of infected material (pus) located
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Epidural abscess
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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
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

22. Discovery Health :: Diseases & Conditions :: Epidural Abscess
An epidural abscess is a walled off area of infection in the epidural space. This is the space between the outermost membrane of the brain or spinal cord
http://health.discovery.com/encyclopedias/illnesses.html?article=1844&page=1

23. Epidural Abscess
A spinal epidural abscess may be seen in patients with bone infections of the Nine out of ten cases are located in the spine (spinal epidural abscess).
http://www.shands.org/health/information/article/001416.htm
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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.

24. ► Epidural Abscess
A medical encycopedia article on the topic epidural abscess.
http://www.umm.edu/ency/article/001416.htm
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Epidural abscess
Overview Symptoms Treatment Prevention Definition:
An inflammation including a collection of infected material (pus) between the dura (the outer membrane covering of the brain and spinal cord), and the bones of the skull or spine.
Alternative Names: Abscess - epidural
Causes, incidence, and risk factors: 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 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.

25. Pictures Of Epidural Abscess Complicating Frontal Sinusitis *  Otolaryngology H
epidural abscess, A complication of frontal sinusitis. CT scan shows pus in frontal sinus and epidural abscess. Trephination of the frontal sinus is used to
http://www.ghorayeb.com/FrontalEpiduralAbscess.html
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Axial CT scan shows an epidural abscess secondary to acute frontal sinusitis, The CT frome to the right shows complete opacification of thefrontal sinus and erosion of the septum separating the right and left frontal sinuses. Bilateral frontal sinus trephination was performed and the sinus was drained and irrigated through the red rubber tubes left in the sinus cavity.

26. Epidural Abscess - Washington DC
epidural abscess Washington Hospital Center is located in Washington DC.
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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.

27. Uhrad.com - Pediatric Imaging Teaching Files
Diagnosis Extensive posterior epidural abscess. Hlavin ML, Kaminski HJ, Ross JS et al Spinal epidural abscesses; a tenyear perspective.
http://www.uhrad.com/pedsarc/peds001.htm
uhrad.com - Pediatric Imaging Teaching Files
Case One - Posterior Epidural Abscess
Click on Images for Enlarged View Clinical History: 13 year-old white male presents with a 4-day history of upper thoracic back pain. Increased WBC, febrile, and increased ESR.
No significant past medical history. Patient pain confined to the T2 region by exam. Referred to MRI to rule out discitis with possible paraspinal abscess. Findings: T-1 weighted and double echo T-2 weighted sagittal T-1 and gradient echo axial, and contrast-enhanced T- 1 weighted sagittal and axial images of the thoracic spine were obtained. Extensive abnormal collection in the posterior epidural space extending from the cervical region through the lowermost visualized portions of the thoracic spine. The signal is of intermediate on the T-1 and proton density images and of increased signal on the T-2 weighted images. Subsequent to the injection of gadolinium, there is enhancement of the dura as well as peripheral enhancement surrounding this collection. However, there is no evidence of spinal cord enhancement. There are multiple strands of epidural fat extending through the aforementioned enhancing fluid collection with a loculated appearance. At multiple levels the fluid collection appears to extend into the left neural foramina. The signal intrinsically within the cord, vertebral bodies, and disc spaces are all normal. Diagnosis: Extensive posterior epidural abscess. This was confirmed surgically with 35 cc of pus removed.

28. Epidural Abscess : Epilepsy.com/Professionals
Epilepsy and seizure diagnosis, treatment, and information for Professionals.
http://professionals.epilepsy.com/page/infectious_epid_absc.html
Search epilepsy.com/professionals: WHO IS EPILEPSY.COM DONATE PROFESSIONAL FORUM CO-EXISTING DISORDERS ... RESOURCE LIBRARY Epidural abscess Co-Existing Disorders Epidural abscess Author: MA Goldstein and CL Harden Abscesses confined to epidural spaces are usually associated with infection of overlying cranial bone. Etiologies include:
  • sinusitis (most common) mastoiditis head trauma neurosurgical complication
Infection spreads to produce subdural and intraparenchymal abscesses, and meningitis can occur. Clinical manifestations, in addition to headache and fever, are generally referable to the abscess’s mass effect, including increased intracranial pressure and seizures.
Diagnosis
Neuroimaging usually reveals an extradural collection. Lumbar puncture is risky because of increased intracranial pressure, and CSF analysis is usually nonspecific anyway (mildly elevated protein, mild pleocytosis, with negative Gram’s stain and cultures).
Treatment
Antibiotic therapy is targeted to the likely infectious source (e.g., sinusitis). Surgical evacuation is usually necessary. Seizure management is routine. Maintenance anticonvulsant therapy after successful abscess cure usually is not required. Adapted from: Goldstein MA and Harden CL. Infectious states. In: Ettinger AB and Devinsky O, eds. Managing epilepsy and co-existing disorders. Boston: Butterworth-Heinemann; 2002;83-133.

29. Medical Dictionary: Epidural Abscess - WrongDiagnosis.com
Medical dictionary definition of epidural abscess as a medical term including diseases, symptoms, treatments, and other medical and health issues.
http://www.wrongdiagnosis.com/medical/epidural_abscess.htm
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Medical Dictionary: Epidural abscess
Medical dictionaries: Medical dictionary Medical malpractice dictionary Medical Acronymns/Abbreviations Epidural abscess : Another name for Brain abscess (or close medical condition association). Epidural abscess : Epidural abscess is listed as a type of (or associated with) the following medical conditions in our database: Brain conditions Abscess Epidural abscess (medical condition): Pus accumulating into an abscess on the brain More information on medical condition: Brain abscess
  • Introduction: Brain abscess
  • Basic Summary for Brain abscess
  • Causes of Brain abscess
  • Symptoms of Brain abscess
  • Treatments for Brain abscess
Dictionary Did we miss something? Please provide feedback or suggestions By using this site you agree to our . Information provided on this site is for informational purposes only; it is not intended as a substitute for advice from your own medical team. The information on this site is not to be used for diagnosing or treating any health concerns you may have - please contact your physician or health care professional for all your medical needs. Please see our

30. PYOGENIC SPINAL EPIDURAL ABSCESS
Over the last 10 years, four cases of spinal epidural abscess have been admitted and As the CT scan showed a large epidural abscess at level L3L5,
http://www.kfshrc.edu.sa/annals/193/97-307R.html
PYOGENIC SPINAL EPIDURAL ABSCESS Abdullah Al-Othman, MD ; Ahmed Ammar, MD
Mohammed Moussa, MD ; Fikry El Morsy, MD Over the last 10 years, four cases of spinal epidural abscess have been admitted and treated at King Fahd University Hospital. Three of these patients were surgically treated, while one was treated conservatively. Acid-fast bacilli (AFB) were not detected in any of the cases. All four patients were put on antibiotics for periods of 4-8 weeks and showed remarkable recovery. Case 1 No AFB were detected by direct smear and culture. Klebsiella spp. was isolated and the patient was treated with piperacillin, meropenem and cefamandole for five weeks. The patient showed immediate improvement postoperatively, and had another operation for thoracotomy and removal of the chest abscess a week after the first surgery. He improved markedly and was discharged, walking normally after four weeks. Case 2 From the Departments of Orthopedic Surgery (Drs. Al-Othman and Moussa), Neurosurgery (Dr. Ammar), and Microbiology (Dr. El Morsy), King Faisal University and King Fahd University Hospital, Al-Khobar, Saudi Arabia. our hospital complaining of severe lumbar pain. He had no neurological deficit, had normal motor power and normal control of the sphincters. He was highly febrile, with a temperature of 39ºC. Lumbar x-rays and CT scan showed a small epidural abscess at the level of L1-L2, extending from the thoracic cavity. No evidence of osteomyelitis was detected. The patient was treated conservatively with antibiotics (gentamycin and ceftriaxone) and painkillers (voltaren) for six weeks. He showed marked improvement and was discharged home after eight weeks.

31. UNTSHC Clinic Digital Library
Intracranial epidural abscess Access document; Spinal epidural abscess Access document epidural abscess (Keyword search) List of documents
http://unthsc-dl.slis.ua.edu/clinical/infectious/bybodysystem/cns/epiduralabsces
Clinical Resources by Topic: Infectious Diseases
Epidural Abscess Clinical Resources
Emergency Pediatrics Radiology Pathology ... Miscellaneous Resources See also:

32. Bacterial Epidural Abscess & Diskitis Thoracic Spine
Spinal epidural abscess evaluation with gadoliniumenhanced MR imaging. Bacterial spinal epidural abscess. Review of 43 cases and literature survey.
http://www.flash.net/~drrad/tf/121696.htm
  • Numaguchi Y; Rigamonti D; Rothman MI; Sato S; et al. Spinal epidural abscess: evaluation with gadolinium-enhanced MR imaging. Radiographics 1993 May;13(3):545-59; discussion 559-60 UI:93303319 Sandhu FS; Dillon WP. Spinal epidural abscess: evaluation with contrast-enhanced MR imaging. AJNR Am J Neuroradiol 1991 Nov-Dec;12(6):1087-93 UI:92109080 Post MJ; Sze G; Quencer RM; Eismont FJ; et al. Gadolinium-enhanced MR in spinal infection. J Comput Assist Tomogr 1990 Sep-Oct;14(5):721-9 UI:90375690 Erntell M; Holt as S; Norlin K; Dahlquist E; Nilsson-Ehle I. Magnetic resonance imaging in the diagnosis of spinal epidural abscess. Scand J Infect Dis 1988;20(3):323-7 UI:88305246 Sadato N; Numaguchi Y; Rigamonti D; Kodama T; et al. Spinal epidural abscess with gadolinium-enhanced MRI: serial follow- up studies and clinical correlations. Neuroradiology 1994;36(1):44-8 UI:94150850 Liem LK; Rigamonti D; Wolf AL; Robinson WL; et al. Thoracic epidural abscess. J Spinal Disord 1994 Oct;7(5):449-54 UI:95119478 Darouiche RO; Hamill RJ; Greenberg SB; Weathers SW; Musher DM. Bacterial spinal epidural abscess. Review of 43 cases and literature survey. REVIEW ARTICLE: 87 REFS. Medicine (Baltimore) 1992 Nov;71(6):369-85 UI:93061980
  • 33. THE MERCK MANUAL, Sec. 14, Ch. 182, Spinal Cord Disorders
    Spinal subdural or epidural abscess often occurs in a patient with an underlying infection, either remote (eg, furuncle, dental abscess) or contiguous (eg,
    http://www.merck.com/mrkshared/mmanual/section14/chapter182/182c.jsp

    34. AR Online » Case Reports » CT » Intracranial Epidural Abscess Secondary To Si
    Applied Radiology A journal for radiology professionals with reports on procedures utilizing MRI, CT, Ultrasound, X-Ray, Mammography, Nuclear Medicine,
    http://www.appliedradiology.com/case/case.asp?Id=508&IssueID=140&CatID=29&SubCat

    35. Anesthesiology - Fulltext: Volume 82(6) June 1995 P 1523-1526 Epidural Abscess A
    epidural abscess is a rare occurrence; the diagnosis is made in fewer than two cases 13 Even more rare is the occurrence of epidural abscess after
    http://www.anesthesiology.org/pt/re/anes/fulltext.00000542-199506000-00024.htm
    LWWOnline LOGIN eALERTS REGISTER ... ASA Meeting Abstracts Epidural Abscess after Obstetric... ARTICLE LINKS:
    References (16)
    View full size inline images Anesthesiology Volume 82(6) June 1995 pp 1523-1526
    Epidural Abscess after Obstetric Epidural Analgesia
    Borum, Stanley E. MD; McLeskey, Charles H. MD; Williamson, John B. MD; Harris, Frank S. MD; Knight, Alfred B. MD (Borum) Assistant Professor, Department of Anesthesiology. (McLeskey) Professor, Department of Anesthesiology. (Williamson) Anesthesia Resident, Department of Anesthesiology. (Harris) Assistant Professor of Surgery, Division of Neurosurgery. (Knight) Professor and Chairman, Department of Obstetrics and Gynecology. EPIDURAL abscess is a rare occurrence; the diagnosis is made in fewer than two cases per 10,000 admissions at major hospitals. Even more rare is the occurrence of epidural abscess after obstetric epidural anesthesia. We present what we believe to be the fourth reported case of epidural abscess after obstetric epidural anesthesia.
    Case Report
    Twenty-six hours after delivery, the epidural catheter was used for uneventful epidural anesthesia (2% lidocaine with epinephrine 1: 200,000) for tubal ligation, and the catheter was removed intact after the procedure. Two hours, 10 min after the injection of the lidocaine, the patient was observed to have full motor and sensory recovery from the epidural anesthetic. The patient had no complaints when discharged from the hospital the following day; she had been afebrile throughout her hospital stay.

    36. Anesthesiology - Fulltext: Volume 96(4) April 2002 P 1023-1025 Iliopsoas Abscess
    Pyogenic psoas abscess is often associated with epidural abscess, Danner RL, Hartman BJ Update of spinal epidural abscess 35 cases and review of the
    http://www.anesthesiology.org/pt/re/anes/fulltext.00000542-200204000-00034.htm
    LWWOnline LOGIN eALERTS REGISTER ... ASA Meeting Abstracts Iliopsoas Abscess and Persistent... ARTICLE LINKS:
    References (9)
    View full size inline images Anesthesiology Volume 96(4) April 2002 pp 1023-1025
    Iliopsoas Abscess and Persistent Radiculopathy: A Rare Complication of Continuous Infusion Techniques of Epidural Anesthesia
    Aota, Yohichi M.D.*; Onari, Katsuhiro M.D.*; Suga, Yuichi M.D.† *Department of Orthopedic Surgery, Yokohama Minami Kyosai Hospital, Yokohama City, Kanagawa Prefecture. †Department of Orthopedic Surgery, Miura Municipal Hospital, Miura City, Kanagawa Prefecture, Japan. Received from the Department of Orthopedic Surgery, Yokohama Minami Kyosai Hospital, Yokohama City, Kanagawa Prefecture, Japan. Submitted for publication March 9, 2001. Accepted for publication October 30, 2001. Support was provided solely from institutional and/or departmental sources. Presented at the annual meeting of Kanto Society of Orthopedics and Traumatology, Tokyo, Japan, November 21, 1998. Address reprint requests to Dr. Aota: Yokohama Minami Kyosai Hospital, Mutsuura-cho 500, Yokohama City, Kanagawa Prefecture, Japan. Address electronic mail to: yaota33@hotmail.com. Individual article reprints may be purchased through the Journal Web site, www.anesthesiology.org

    37. Penn State Faculty Research Expertise Database (FRED)
    The majority of epidural abscesses occur in the spinal canal and are Cranial epidural abscesses are usually associated with OSTEOMYELITIS of a cranial
    http://fred.hmc.psu.edu/ds/retrieve/fred/meshdescriptor/D020802

    38. Log In Problems
    Spinal epidural abscess is an uncommon condition, with an incidence between 0.2 and 2.8 per 10000 hospital admissions.
    http://www.medscape.com/viewarticle/451615
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    39. Log In Problems
    Spinal epidural abscess is associated with considerable rates of morbidity and mortality, despite its infrequent occurrence.
    http://www.medscape.com/viewarticle/496413
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    40. American Family Physician: Spinal Epidural Abscess: A Diagnostic Challenge
    Full text of the article, Spinal epidural abscess A Diagnostic Challenge from American Family Physician, a publication in the field of Health Fitness,
    http://www.findarticles.com/p/articles/mi_m3225/is_7_65/ai_84378093
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    ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Spinal Epidural Abscess: A Diagnostic Challenge American Family Physician April 1, 2002 by Deardre Chao Anil Nanda
    Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Spinal epidural abscess has an estimated incidence rate of 0.2 to 2.8 cases per 10,000 per year, with the peak incidence occurring in people who are in their 60s and 70s. The most common causative agent is Staphylococcus aureus.(1,2) Epidural abscess caused by actinomycosis is rare; fewer than 80 cases have been reported since the organism was identified in 1878.(3,4) The incidence of spinal epidural abscess appears to have increased in the United States since the 1980s, possibly because of an increase in the age of the population, the number of spinal procedures performed,(5,6) intravenous (IV) drug abuse, and the number of patients with acquired immunodeficiency syndrome (AIDS).(7) Associated predisposing conditions include a compromised immune system such as occurs in patients with diabetes mellitus, AIDS, chronic renal failure, alcoholism, or cancer,(8-10) or following epidural anesthesia, spinal surgery, or trauma(11) (Table 1). No predisposing condition can be found in 20 percent of patients with spinal epidural abscess, and the condition has been reported in patients with no predisposing risk factors.(12)

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