Disease Information for Epidural abscess

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Clinical Manifestations
Signs & Symptoms
Ankle reflexes increased
CNS symptoms/signs
Dilated pupil unilateral
Dilated unilateral/poorly reactive pupil
Focal neurologic deficit
Headache
Headache/worse in afternoon/evening
Hemiplegic Gait
Obtunded/poorly responsive status/signs
Papilledema on exam
Paralysis
Stroke Syndrome Child
Stroke syndrome/signs
Acute Back Pain
Back Pain
Backache
Low Back Pain
Low Back Pain in Elderly
Chronically ill patient/signs
Fever
Fever Febrile Possible
Flu-Like Syndrome
High body temperature
Malaise
Pains Worse in the Evening
Blurred Optic Disk Margin
Pupil Abnormal/Signs
Clinical Presentation & Variations
Fever and High Sed Rate
Disease Progression
Course/Chronic disorder
Course/Subacute
Laboratory Tests
Abnormal Lab Findings (Non Measured)
Acute inflammatory markers elevated (Lab)
Left shifted differential smear (Lab)
CSF abnormal
CSF Protein increased/cells absent
Abnormal Lab Findings - Increased
Neutrophiles (Lab)
Sed Rate/ESR/Sedimentation rate (Lab)
CSF Cells
CSF Leukocytes
CSF Neutrophiles
Diagnostic Test Results
Pathology
PATH/Brain Focal Degeneration/Lesion
CT Scan
CT Scan/Head Brain Abnormality
MRI/Spinal/back abnormal
X-RAY
Xray/Skull abnormality
Associated Diseases & Rule outs
Rule Outs
Brain abscess
Subdural hematoma
Associated Disease & Complications
Coma in Children
Coma/Unconscious
Epidural abscess
Epidural Mass
Hemiparesis
Hemiplegia
Intracranial Mass/Effect
Leukocytosis
Myelopathy manifestations/involvement
Paraplegia
Spinal cord compression
Intracranial Lesion
Mass in Brain
Disease Mechanism & Classification
Specific Agent
AGENT/Infection/Purulent/pyogenic/suppurative (ex)
Class
CLASS/Dura disorder (ex)
CLASS/Meninges/pia/arachnoid involvement (ex)
CLASS/Neurologic (category)
Pathophysiology
Pathophysiology/Closed space/compartment process
Process
PROCESS/Infected organ/abscess (category)
PROCESS/Infection/Abscess (ex)
Synonyms
Synonym
Abscess Epidural, Abscess Extradural, Epidural abscess, Epidural abscess (disorder), Extradural abscess, Synonym/Extradural abscess, Synonym/Pachymeningitis abscess
Treatment
Drug Therapy - Indication
RX/Antibiotic adjunct/parenteral/large doses
SX/Craniotomy
Surgical Procedures or Treatments
SX/Surgery
SX/Surgical emergency
SX/Surgical resection/removal/biopsy
Definition

Circumscribed collections of suppurative material occurring in the spinal or intracranial EPIDURAL SPACE. The majority of epidural abscesses occur in the spinal canal and are associated with OSTEOMYELITIS of a vertebral body; ANALGESIA, EPIDURAL; and other conditions. Clinical manifestations include local and radicular pain, weakness, sensory loss, URINARY INCONTINENCE, and FECAL INCONTINENCE. Cranial epidural abscesses are usually associated with OSTEOMYELITIS of a cranial bone, SINUSITIS, or OTITIS MEDIA. (From Adams et al., Principles of Neurology, 6th ed, p710 and pp1240-1; J Neurol Neurosurg Psychiatry 1998 Aug;65(2):209-12)

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External Links Related to Epidural abscess
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NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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