Management of spinal epidural abscess and subdural empyema

Kee D Kim, J. P. Johnson, J. E. Masciopinto

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Spinal epidural abscess and subdural empyema are uncommon in a general neurosurgical practice. Despite the availability of improved imaging studies and a greater awareness, the mortality rate remains high. Patients with spinal epidural abscess and subdural empyema commonly present with back pain that may rapidly progress to weakness or paralysis if untreated. The key to successful treatment is prompt diagnosis and implementation of timely and effective treatment. Patients with spinal pain and fever should raise a suspicion for an epidural abscess or subdural empyema. Magnetic resonance imaging (MRI) is the most appropriate imaging study, and if an abscess is present in a patient with a progressive neurologic symptoms, the patient should undergo urgent surgical decompression and debridement. However, a few selected patients with no neurologic deficit and a known pathogenic organism that is sensitive to antibiotics have been successfully treated without surgery. A 4-week to 8-week course of intravenous antibiotic treatment is usually necessary, and with early intervention, the prognosis is often good.

Original languageEnglish (US)
Pages (from-to)293-302
Number of pages10
JournalTechniques in Neurosurgery
Volume5
Issue number4
StatePublished - 1999

Fingerprint

Subdural Empyema
Epidural Abscess
Neurologic Manifestations
Anti-Bacterial Agents
Surgical Decompression
Debridement
Back Pain
Paralysis
General Practice
Abscess
Fever
Therapeutics
Magnetic Resonance Imaging
Pain
Mortality

Keywords

  • Epidural abscess
  • Spinal infection
  • Subdural empyema

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Kim, K. D., Johnson, J. P., & Masciopinto, J. E. (1999). Management of spinal epidural abscess and subdural empyema. Techniques in Neurosurgery, 5(4), 293-302.

Management of spinal epidural abscess and subdural empyema. / Kim, Kee D; Johnson, J. P.; Masciopinto, J. E.

In: Techniques in Neurosurgery, Vol. 5, No. 4, 1999, p. 293-302.

Research output: Contribution to journalArticle

Kim, KD, Johnson, JP & Masciopinto, JE 1999, 'Management of spinal epidural abscess and subdural empyema', Techniques in Neurosurgery, vol. 5, no. 4, pp. 293-302.
Kim, Kee D ; Johnson, J. P. ; Masciopinto, J. E. / Management of spinal epidural abscess and subdural empyema. In: Techniques in Neurosurgery. 1999 ; Vol. 5, No. 4. pp. 293-302.
@article{c6fd424345e042c286ad88f3c65691aa,
title = "Management of spinal epidural abscess and subdural empyema",
abstract = "Spinal epidural abscess and subdural empyema are uncommon in a general neurosurgical practice. Despite the availability of improved imaging studies and a greater awareness, the mortality rate remains high. Patients with spinal epidural abscess and subdural empyema commonly present with back pain that may rapidly progress to weakness or paralysis if untreated. The key to successful treatment is prompt diagnosis and implementation of timely and effective treatment. Patients with spinal pain and fever should raise a suspicion for an epidural abscess or subdural empyema. Magnetic resonance imaging (MRI) is the most appropriate imaging study, and if an abscess is present in a patient with a progressive neurologic symptoms, the patient should undergo urgent surgical decompression and debridement. However, a few selected patients with no neurologic deficit and a known pathogenic organism that is sensitive to antibiotics have been successfully treated without surgery. A 4-week to 8-week course of intravenous antibiotic treatment is usually necessary, and with early intervention, the prognosis is often good.",
keywords = "Epidural abscess, Spinal infection, Subdural empyema",
author = "Kim, {Kee D} and Johnson, {J. P.} and Masciopinto, {J. E.}",
year = "1999",
language = "English (US)",
volume = "5",
pages = "293--302",
journal = "Techniques in Neurosurgery",
issn = "1077-2855",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Management of spinal epidural abscess and subdural empyema

AU - Kim, Kee D

AU - Johnson, J. P.

AU - Masciopinto, J. E.

PY - 1999

Y1 - 1999

N2 - Spinal epidural abscess and subdural empyema are uncommon in a general neurosurgical practice. Despite the availability of improved imaging studies and a greater awareness, the mortality rate remains high. Patients with spinal epidural abscess and subdural empyema commonly present with back pain that may rapidly progress to weakness or paralysis if untreated. The key to successful treatment is prompt diagnosis and implementation of timely and effective treatment. Patients with spinal pain and fever should raise a suspicion for an epidural abscess or subdural empyema. Magnetic resonance imaging (MRI) is the most appropriate imaging study, and if an abscess is present in a patient with a progressive neurologic symptoms, the patient should undergo urgent surgical decompression and debridement. However, a few selected patients with no neurologic deficit and a known pathogenic organism that is sensitive to antibiotics have been successfully treated without surgery. A 4-week to 8-week course of intravenous antibiotic treatment is usually necessary, and with early intervention, the prognosis is often good.

AB - Spinal epidural abscess and subdural empyema are uncommon in a general neurosurgical practice. Despite the availability of improved imaging studies and a greater awareness, the mortality rate remains high. Patients with spinal epidural abscess and subdural empyema commonly present with back pain that may rapidly progress to weakness or paralysis if untreated. The key to successful treatment is prompt diagnosis and implementation of timely and effective treatment. Patients with spinal pain and fever should raise a suspicion for an epidural abscess or subdural empyema. Magnetic resonance imaging (MRI) is the most appropriate imaging study, and if an abscess is present in a patient with a progressive neurologic symptoms, the patient should undergo urgent surgical decompression and debridement. However, a few selected patients with no neurologic deficit and a known pathogenic organism that is sensitive to antibiotics have been successfully treated without surgery. A 4-week to 8-week course of intravenous antibiotic treatment is usually necessary, and with early intervention, the prognosis is often good.

KW - Epidural abscess

KW - Spinal infection

KW - Subdural empyema

UR - http://www.scopus.com/inward/record.url?scp=0032728693&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032728693&partnerID=8YFLogxK

M3 - Article

VL - 5

SP - 293

EP - 302

JO - Techniques in Neurosurgery

JF - Techniques in Neurosurgery

SN - 1077-2855

IS - 4

ER -