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Epidural Abscess:     more detail

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 Epidural abscess: the missed diagnosis.: An article from: Trial by Randell C. Ogg, 1999-09-01 Spinal epidural abscess after corticosteroid injections.: An article from: Southern Medical Journal by Vijay K. Koka, Anil Potti, 2002-07-01 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 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 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 Spinal epidural abscess--from onset to rehabilitation: case study.(Award Winner): An article from: Journal of Neuroscience Nursing by Margaret Alvarez, 2005-04-01 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 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 Exhibition of a patient operated on for mastoiditis, complicated by epidural abscess by William Sohier Bryant, 1906

lists with details

61. BioMed Central | Abstract | Brain Abscess, Subdural Empyema, And Intracranial Ep
    Brain abscess, subdural empyema, and intracranial epidural abscess are three of the most commonly encountered focal suppurative processes of the central  
    http://www.biomedcentral.com/1523-3847/1/166/abstract
    
    Extractions: Brain abscess, subdural empyema, and intracranial epidural abscess are three of the most commonly encountered focal suppurative processes of the central nervous system. A great deal has been known about the epidemiology and pathogenesis of these entities for quite some time, but until recent years the associated morbidity and mortality remained very high. New imaging techniques have allowed for more rapid detection and more precise localization of these lesions for surgical drainage. Empiric antimicrobial regimens that are effective within the abscess environment and that are directed against the most likely pathogens have also contributed to the improved outcomes seen in the current literature. This article will discuss some of the more recent advances in the diagnosis and treatment of these suppurative lesions within the central nervous system.

62. Epidural Abscess Complicating Insertion Of Epidural Catheters -- Hearn And Rober
    epidural abscess complicating epidural anaesthesia and analgesia. Acta Anaesthesiol Scand 1998 Incidence of epidural abscess after epidural anaesthesia.  
    http://bja.oxfordjournals.org/cgi/content/full/90/5/706-a
    
    Extractions: This Article Extract FREE Full Text (PDF) E-Letters: Submit a response to the article ... Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Cited by other online articles Search for citing articles in: The Board of Management and Trustees of the British Journal of Anaesthesia M. Hearn and C. Roberts Torquay, UK Gloucester, UK by Dr Phillips and colleagues of epidural abscess formation after the use of epidural catheters. They make the point that not only does the incidence appear to be increasing, but also development of signs and symptoms often occurs after the catheter has been removed, making diagnosis difficult. I totally agree

63. The Pediatric Infectious Disease Journal - UserLogin
    A case of purulent spinal epidural abscess in a 20day-old girl is presented. Primary spinal epidural abscess is rare in infants and older children,  
    http://www.pidj.com/pt/re/pidj/fulltext.00006454-200208000-00024.htm

64. IATROGENIC SPINAL EPIDURAL ABSCESS AND DISCITIS AFTER LUMBAR DISC
    A lumbar epidural abscess was diagnosed and he was reoperated, his abscess It is stated that, postoperative lumbar epidural abscess is a benign disease  
    http://med.ege.edu.tr/norolbil/2001/NBD16301.html

65. Survey Of Anesthesiology - Fulltext: Volume 45(1) February 2001 P 54-55 Incidenc
    Incidence of Spinal epidural abscess after Epidural Analgesia A National 1Year This study estimated the incidence of epidural abscess after epidural  
    http://www.surveyanesthesiology.com/pt/re/survanes/fulltext.00132586-200102000-0
    
    Extractions: PDF (244 K) Permissions View full size inline images Survey of Anesthesiology Volume 45(1) February 2001 pp 54-55 LARS P. WANG, JOHN HAUERBERG AND JES F. SCHMIDT National University Hospital, Copenhagen, Denmark Anesthesiology, Epidural analgesia is often used for postoperative pain relief. Two serious complications, the spinal epidural hematoma and the spinal epidural abscess, may result in severe morbidity. This study estimated the incidence of epidural abscess after epidural analgesia in Denmark during a 1-yr period and evaluated the overall use of epidural analgesia during the same time. Treatment and outcome in patients with spinal epidural abscess were also analyzed. All anesthetic departments in Denmark were invited to participate in the prospective study. A questionnaire was sent to participating departments; this questionnaire was to be completed when a patient developed an epidural abscess after epidural analgesia. Of 59 departments in Denmark, 46 participated in the study; 12 were university departments and 34 were nonuniversity departments. A total of 17,372 epidural catheters were used during the 1-yr period; 68% of the epidural procedures were performed at the university departments. Data from 12 patients with possible epidural abscess formation were collected. Nine had developed a true spinal epidural abscess, two had subcutaneous infections, and one experienced sequelae from a misplaced epidural catheter.

66. Healthopedia.com - Epidural Abscess
    An epidural abscess is a walled off area of infection in the epidural space. An epidural abscess is usually caused by the spread of infection from  
    http://www.healthopedia.com/epidural-abscess/
    
    Extractions: Category : Health Centers Brain and Nervous System Epidural Abscess Attribution 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 and the overlying bone and ligaments. What is going on in the body? An epidural abscess is usually caused by the spread of infection from elsewhere in the body. The infection may spread either directly or through the bloodstream. What are the causes and risks of the infection? An epidural abscess usually results from the spread of infection either directly or through the bloodstream. For example, an infection of the nasal sinuses or an open skull fracture can cause an abscess to develop. Factors that increase a person's risk for an abscess include: bacterial endocarditis, an infection of the heart

67. Healthopedia.com - Epidural Abscess: Prevention & Expectations
    Some epidural abscesses can be prevented by effective treatment of the infection An epidural abscess is not contagious, and poses no risk to others.  
    http://www.healthopedia.com/epidural-abscess/prevention.html
    
    Extractions: Category : Health Centers Brain and Nervous System Epidural Abscess Epidural Abscess Attribution What can be done to prevent the infection? Some epidural abscesses can be prevented by effective treatment of the infection that causes it. For example, someone with a sinus infection should finish all prescribed antibiotics. What are the long-term effects of the infection? If the abscess is small and promptly treated, the person may have no long-term effects. If there is extensive damage to the brain, the person may have cognitive impairments motor impairments , or other problems. If untreated, epidural abscesses may continue to grow. This can put pressure on the surrounding nerves, causing them to lose function. It may also cause the abscess to rupture, spilling its contents into the bloodstream. In any case, the result of an untreated abscess is often death.

68. Epidural Abscess After Combined Spinal-epidural Block -- Schroter Et Al. 44 (3):
    An epidural abscess was diagnosed by magnetic resonance imaging and CONCLUSION epidural abscess formation after CSE may increase the risk of bacterial  
    http://www.cja-jca.org/cgi/content/abstract/44/3/300
    
    Extractions: HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS This Article Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager PubMed PubMed Citation Articles by Schroter, J. Articles by Motsch, J. J Schroter, D Wa Djamba, V Hoffmann, A Bach and J Motsch Department of Anaesthesia, University of Heidelberg, Germany. PURPOSE: We report the first case of abscess formation after combined spinal-epidural block (CSE). Penetration of the dura in CSE may constitute an additional risk of subarachnoid spread of bacteria when post-puncture epidural infection is present. CLINICAL FEATURES: The combination of a spinal and a continuous epidural block (CSE) using a needle through needle technique was used in a 72-yr-old man for reconstructive vascular surgery of the lower limb. On the fourth postoperative day the patient demonstrated

69. Epidural Abscess In A Patient With Dorsal Hyperhidrosis: [Un Abces Peridural Che
    A 14mm abscess was removed from the epidural space. The patient was discharged on day 21 after catheterization without any disability.  
    http://www.cja-jca.org/cgi/content/abstract/50/5/450
    
    Extractions: HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS This Article Full Text Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager PubMed PubMed Citation Articles by Ide, M. Articles by Goto, F. Canadian Journal of Anesthesia Regional Anesthesia and Pain Masanobu Ide, MD Shigeru Saito, MD Masayuki Sasaki, MD and Fumio Goto, MD From the Department of Anesthesiology and Reanimatology, Gunma University School of Medicine, Maebashi, Japan. Address correspondence to: Dr. Shigeru Saito, Department of Anesthesiology and Reanimatology, Gunma University School of Medicine, 3-39-22, Showa-machi, Maebashi, 371-8511, Japan. Phone: +81-27-220-8454; Fax: +81-27-220-8473; E-mail: Purpose: To report the management of a patient who developed a lumbar epidural abscess when an epidural catheter was placed three years after a thoracic sympathectomy. The possible contribution

70. Radiology, University Of Rochester Medical Center
    Discussion epidural abscess typically results from direct hematogeneous seeding When epidural abscess is suspected, immediate MRI imaging of the spinal  
    http://www.urmc.rochester.edu/smd/Rad/neurocases/Neurocase03.htm
    
    Extractions: Radiology Home Department Overview Faculty Residency ... Next Case Matthew Cham, MD and and P-L Westesson, MD, PhD, DDS Clinical Presentation A 62-year-old man presented with acute onset quadriplegia and fever. Radiological Findings: Sagittal T2-weighted MR images show an epidural fluid collection centered around the C4/5 disk space ( Fig.1 ). Anterior to the vertebral column there is also slightly increased T2 signal indicating a phlegmon and less likely a fluid collection. These each measure approximately 4 mm in AP dimension. The cervical cord is displaced posteriorly and there is compression of the cord but there is no appreciable signal alterations. The fluid collection is in a left paracentral region ( Fig. 2

71. Disease - Epidural Abscess - Detroit, Michigan
    epidural abscess (Disease) courtesy of Henry Ford Health System of Detroit, Michigan.  
    http://www.henryfordhealth.org/12462.cfm
    
    Extractions: 3D Tour of the Vattikuti Institute About the Institute The Vattikuti Institute Prostatectomy Prostate Cancer ... Health Encyclopedia Back to main Health Information page 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 And Risk: 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.

72. Case Rounds: Case 10
    In cases of spinal epidural abscess, the infection occurs most commonly The neurologic damage due to a spinal epidural abscess is often well out of  
    http://hopkins-id.edu/education/id_caserounds/caserounds10.html
    
    Extractions: Insulin requiring diabetes mellitus complicated by diabetic polyneuropathy Osteoarthritis Hypertension Coronary artery disease status post two vessel CABG '93 Chronic back pain and sciatica treated with lumbar laminectomy x 2 and multiple epidural steroid injections Lower extremity venous insufficiency Hiatal hernia Cerebrovascular accident '95 without significant residua Hypercholesterolemia Status post transurethral resection of the prostate Social History Physical Examination He was afebrile with other vital signs within normal parameters. General - obese man who appears to be in no distress. Skin - no rash or lesions. HEENT - no significant abnormalities. Neck - supple without lymphadenopathy. Chest, heart, and abdomen were normal, although rectal tone was diminished and he had mid back spinal tenderness. Extremities - without edema. Neuro - oriented, cranial nerves II-XII intact, diminished sensation below T10 level, 3/5 strength in his right lower extremity and 2/5 strength in his left lower extremity, normal strength in his upper extremities, and normal reflexes in his upper extremities but absent reflexes in lower extremities with concomitant up-going toes.

73. Entrez PubMed
    BACKGROUND epidural abscess is a serious complication of epidural block. RESULTS Fortytwo patients with a catheter-related epidural abscess were  
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9

74. Entrez PubMed
    Spinal epidural abscess (SEA) was first described in the medical Spinal epidural abscess comprises 0.2 to 2 cases per 10000 hospital admissions.  
    http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1

75. AllRefer Health - Epidural Abscess Prevention (Abscess - Epidural, Spinal Absces
    epidural abscess (Abscess Epidural, Spinal Abscess) information center covers Prevention.  
    http://health.allrefer.com/health/epidural-abscess-prevention.html
    
    Extractions: AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia

76. AllRefer Health - Epidural Abscess Symptoms & Signs (Abscess - Epidural, Spinal
    epidural abscess (Abscess Epidural, Spinal Abscess) information center covers Symptoms Signs.  
    http://health.allrefer.com/health/epidural-abscess-symptoms.html
    
    Extractions: AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Alternate Names : Abscess - Epidural, Spinal Abscess Spinal epidural abscess: Intracranial epidural abscess: Headache , fever, lethargy, nausea and vomiting (if associated with sinusitis or chronic ear infections, there may be localized pain in those areas) Progressive pain at the site of recent surgery (neurosurgery), especially if accompanied by fever

77. Medi-Fax Atlas Series - Epidural Abscess
    epidural abscess. Contributor. Dr. Chris Ekong Preop X-Rays. MRI of Cervical spine showing C34 epidural abscess.  
    http://www.medi-fax.com/atlas/spineinfection/case1.html
    
    Extractions: Editor: Dr. Chris Ekong Navigation Atlas Series Health Information CDs Health Information Centre ThinkFirst Web Pages ... Links Epidural Abscess Contributor: Dr. Chris Ekong Case 1 Age: Sex: Female History: Sudden severe neck pain in an immunosupressed lady with renal failure who has been receiving dialysis for last 3 years. Examination showed slight tenderness in the cervical region. Pre-op X-Rays MRI of Cervical spine showing C34 epidural abscess. A Project of The Emmanuel Charitable Foundation Last Updated: May 29, 2003

78. Epidural Abscess And Subdural Empyema -- Sellick JA 89 (6): 806 -- Journal Of Th
    epidural abscess and subdural empyema are serious intracranial infections that result in significant morbidity and mortality. Frequently, they are secondary  
    http://www.jaoa.org/cgi/content/abstract/89/6/806
    
    Extractions: This Article Order Full text via Infotrieve Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Sellick JA, , Jr Journal of the American Osteopathic Association, Vol 89, Issue 6, 806-806 Sellick JA Jr Epidural abscess and subdural empyema are serious intracranial infections that result in significant morbidity and mortality. Frequently, they are secondary to sinusitis or middle ear disease, and the bacteria involved are inhabitants of the upper respiratory tract. Symptoms may be mild and mimic the symptoms of the underlying infection. However, especially with subdural empyema, alteration in the level of consciousness and focal neurologic deficits are common. Morbidity and mortality are minimized by early diagnosis, which is best made with computed tomography scanning, and proper therapy, which consists of surgical drainage and administration of appropriate antimicrobials. It is important that primary care physicians be aware of the clinical features of these potentially fatal complications of common infections.

79. Brazilian Journal Of Infectious Diseases -
    Paraplegia due to the spinal epidural abscess was not relieved by An adequate diagnosis of paraplegia due to spinal epidural abscess is rarely made 4.  
    http://www.scielo.br/scielo.php?pid=S1413-86702002000600007&script=sci_arttext&t

80. Karger Publishers
    Aspergillus Spinal epidural abscess goto top of page Key Words. Abscess; Aspergillosis; Chronic granulomatous disease; Epidural; Spinal; Outcome  
    http://content.karger.com/ProdukteDB/produkte.asp?Doi=50380

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