Saturday, February, 11, 2012

Epidural abscess

Table of Contents

Alternative Names

Abscess - epidural; Spinal abscess


Treatment

The goal of treatment is to cure the infection and reduce the risk of permanent damage. Treatment usually includes antibiotics and surgery. In rare cases, antibiotics alone are used.

Antibiotics are usually given through a vein (IV) for at least 4 - 6 weeks. However, some people may need to take them for a longer time, depending on the type of bacteria and severity of the disease.

Surgery is usually needed to drain or remove the abscess. In addition, surgery is often needed to reduce pressure on the spinal cord or brain, to prevent further loss of function.


Support Groups


Expectations (prognosis)

Early diagnosis and treatment greatly improve the chance of a good outcome. Once weakness, paralysis, or sensation changes occur, the chances of recovering lost function are reduced. Permanent nervous system damage or death may occur.


Complications
  • Brain abscess
  • Brain damage
  • Bone infection (osteomyelitis)
  • Chronic back pain
  • Meningitis
  • Return of infection (common even if the disorder is treated)
  • Spinal cord abscess

Calling your health care provider

Call your health care provider if you have:

  • Persistent back pain with fever
  • Headache with fever
  • Other symptoms of epidural abscess

An epidural abscess is a medical emergency.



Review Date: 09/15/2010
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School; Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)