Epidural abscess: case report and literature review

Area of Science:

• Anesthesiology
• Neurosurgery
• Infectious Disease

Background:

• Epidural analgesia is a common pain management technique.
• Spinal epidural abscess is a serious but rare complication.
• Early detection and intervention are critical for favorable outcomes.

Observation:

• A 72-year-old woman developed localized infection and sensory deficits post-epidural anesthesia.
• Magnetic resonance imaging confirmed a spinal epidural abscess.
• The patient underwent emergency surgery and antibiotic treatment.

Findings:

• Delayed diagnosis of the spinal epidural abscess led to significant patient morbidity.
• Prompt neurosurgical intervention and antibiotics are essential for managing this condition.

Implications:

• This case highlights the importance of vigilance for spinal epidural abscess in patients receiving epidural analgesia.
• Timely diagnosis and treatment can mitigate severe neurological damage and improve patient prognosis.
• Healthcare providers should maintain a high index of suspicion for this complication.