Course and prognosis of spinal epidural abscess. Report of five cases
- 29 Downloads
Five patients suffering from spinal epidural abscess associated with neurologic deficit are reported. Four patients underwent a decompressive procedure for abscess drainage, and one patient was medically treated. One of the patients showed a neurologic deterioration at the early postoperative period. The long-term follow-up showed a good outcome in all patients. It is concluded that epidural abscess associated with progressive neurologic deficit requires immediate decompression and administration of antibiotic. Postoperative neurological deterioration may be seen despite proper and immediate decompression and in such a case neurologic improvement is observed in the late postoperative period.
Key wordsAbscess Prognosis Spinal epidural abscess
Unable to display preview. Download preview PDF.
- 1.Curling OD Jr, Gower DJ, McWhorter JM (1990) Changing concepts in spinal epidural abscess: A report of 29 cases. Neurosurg 27:185–192Google Scholar
- 4.Feldenzer JA, McKeever PE, Schaberg DR, Campbell JA, Hoff JT (1987) Experimental spinal epidural abscess: a pathophysiological model in rabbit. Neurosurg 20: 859–867Google Scholar
- 5.Hlavin MC, Kaminski HJ, Ross JS, Ganz E (1990) Spinal epidural abscess: A ten-year perspective. Neurosurg 27:177–184Google Scholar
- 6.Khanna RK, Malik GM, Rock JP, Rosenblum ML (1996) Spinal epidural abscess: Evaluation of factors influencing outcome. Neurosurg 39:958–964Google Scholar
- 10.Tacconi L, Johnston FG, Symon L (1996) Spinal epidural abscess: Review of 10 cases. Acta Neurochir 138:520–523Google Scholar