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Spinal epidural abscess: Report on 27 cases
Nayil Khursheed1, Sultan Dar1, Altaf Ramzan1
1Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India.
Background:
Spinal epidural abscess, although an uncommon disease, often correlates with a high morbidity owing to significant delay in diagnosis.
Methods:
In a prospective 5-year study, the clinical and magnetic resonance (MR) findings, treatment protocols, microbiology, and neurological outcomes were analyzed for 27 patients with spinal epidural abscess.
Results:
Patients were typically middle-aged with underlying diabetes and presented with lumbar abscesses. Those undergoing surgical intervention >36 h after the onset of symptoms had poor neurological outcomes.
Conclusion:
Early recognition and timely evacuation of spinal abscesses minimized neurological morbidity and potential mortality.
Insights
Early diagnosis and surgical intervention for spinal epidural abscesses are crucial. Prompt treatment significantly reduces the risk of severe neurological complications and mortality in patients.
Area of Science:
- Neurosurgery
- Infectious Diseases
- Radiology
Background:
- Spinal epidural abscess (SEA) is an uncommon condition associated with significant morbidity.
- Delays in diagnosis frequently contribute to poor patient outcomes.
Purpose of the Study:
- To analyze clinical findings, treatment, and outcomes in patients with SEA.
- To identify factors influencing neurological outcomes in SEA patients.
Main Methods:
- Prospective 5-year study of 27 patients with SEA.
- Evaluation of clinical presentation, magnetic resonance (MR) imaging, treatment protocols, microbiology, and neurological outcomes.
Main Results:
- Patients were typically middle-aged with diabetes, often presenting with lumbar abscesses.
- Surgical intervention delayed beyond 36 hours post-symptom onset correlated with poor neurological outcomes.
Conclusions:
- Early recognition and prompt surgical evacuation of spinal epidural abscesses are essential.
- Timely intervention minimizes neurological morbidity and mortality associated with SEA.
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