Medical treatment of a spinal epidural abscess with neurologic deficits

Tzu Tsao Chung, Cheng Ta Hsieh, Ming Ying Liu, Cheng Fu Chang

Research output: Contribution to journalArticle

Abstract

In spite of advances in medical knowledge, imaging techniques, and surgical interventions, the diagnosis and treatment of spinal epidural abscess remains a challenge. The diagnosis is often elusive, but achieving diagnosis prior to the onset of neurological deficits is essential to preserving the vital neurological function. Traditionally, urgent surgical decompression and drainage remain the mainstay therapy for spinal epidural abscess. In recent years, with the improvement of antibiotics, conservative treatment with adequate antibiotics has been proposed as an effective method in selective patients. We report a case of spinal epidural abscess in a 50-year-old man, who complained of progressive weakness of lower extremities for 4 days before admission. After conservative treatment with antibiotics alone, the patient recovered uneventfully from previous neurological deficits. The relevant literature is also reviewed.

Original languageEnglish
Pages (from-to)37-40
Number of pages4
JournalJournal of Medical Sciences (Taiwan)
Volume33
Issue number1
DOIs
Publication statusPublished - 2013

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Epidural Abscess
Neurologic Manifestations
Anti-Bacterial Agents
Surgical Decompression
Diagnostic Imaging
Drainage
Lower Extremity
Therapeutics
Conservative Treatment

Keywords

  • Antibiotics
  • Conservative treatment
  • Spinal epidural abscess

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Medical treatment of a spinal epidural abscess with neurologic deficits. / Chung, Tzu Tsao; Hsieh, Cheng Ta; Liu, Ming Ying; Chang, Cheng Fu.

In: Journal of Medical Sciences (Taiwan), Vol. 33, No. 1, 2013, p. 37-40.

Research output: Contribution to journalArticle

Chung, Tzu Tsao ; Hsieh, Cheng Ta ; Liu, Ming Ying ; Chang, Cheng Fu. / Medical treatment of a spinal epidural abscess with neurologic deficits. In: Journal of Medical Sciences (Taiwan). 2013 ; Vol. 33, No. 1. pp. 37-40.
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