Absceso epidural espinal: presentación atípica. Rev. argent. neurocir. [online]. , vol, n.1, pp. ISSN Objective: to describe a new case . Request PDF on ResearchGate | Absceso epidural espinal resuelto con tratamiento médico | Spinal epidural abscess is rare in children. We describe the case. Absceso Epidural Espinal S. Alvarado T. *Residente Neurocirugía Universidad de Antioquia ** Hospital Universitario San Vicente Fundación.
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Absceso epidural espinal en un paciente diabético – Dimensions
Spinal epidural abscess represents infection of the epidural space, located between the spinal dura mater and the vertebral periosteum. It can present with rapidly deteriorating neurological function due to compression. Imaging is best performed with MRI and emergency surgery is often required. Spinal epidural abscess is an uncommon condition with an estimated incidence of per 10, hospital admissions.
It has a peak incidence in the fifth-to-seventh decades of life with a male predominance, which might be due to predisposing conditions and risk factors that are more prevalent in older people 2. Risk factors include 3, Many clinical features are non-specific, even in an acute case of a spinal epidural abscess, mainly if there are no demographic or epidemiological clues. Back pain and severe, circumscribed tenderness are by far the most frequent early findings 2.
The source of infection is not always edpinal, and cannot be identified in ansceso one-third of the cases 2. In contrast, when facet joint septic arthritis is the primary infection, collections tend to be posterior or posterolateral.
Plain films have little role to play in investigating a patient with epidual spinal epidural abscess, as no direct visualization of the collection is possible. They can, however, be useful in visualizing established discitis- osteomyelitisparticularly when MRI and to a lesser extent CT are not available.
Despite excellent bony anatomical details, CT even with contrast can struggle to demonstrate smaller collections. The key to identifying liquid abscess, which is usually sufficient cause for surgical drainage, is the presence of a region of high T2 signal, with low T1 signal and without enhancement usually surrounded by a rim of enhancement.
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Spinal epidural abscess in clinical practice. Chao D, Nanda A. Read it at Google Books – Find it at Amazon 7. Related Radiopaedia articles Infections of the central nervous system CNS infections classification by etiology viral eastern equine encephalitis enterovirus rhomboencephalitis flavivirus encephalitis Japanese encephalitis West Nile fever Murray Valley encephalitis St.
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