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[Spinal epidural empyemas]

T Evangelista1, J Pimentel, J L Antunes

  • 1Servico de Neurologia, Hospital de Santa Maria, Lisboa.

Acta Medica Portuguesa
|November 1, 1995
PubMed
Summary
This summary is machine-generated.

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Early diagnosis of spinal epidural abscess is crucial for better outcomes. Prompt surgical intervention and identifying predisposing factors, like compromised immunity and elevated Erythrocyte Sedimentation Rate (ESR), significantly improve patient prognosis.

Area of Science:

  • Neurosurgery
  • Infectious Diseases
  • Radiology

Background:

  • Spinal epidural abscess (SEA) is a serious condition requiring timely diagnosis and treatment.
  • Predisposing factors often involve compromised immunological systems.
  • Clinical presentation commonly includes back pain, potentially with spinal cord involvement.

Purpose of the Study:

  • To evaluate factors influencing early diagnosis of SEA.
  • To identify elements affecting patient prognosis in SEA cases.
  • To assess the diagnostic utility of various imaging modalities.

Main Methods:

  • Retrospective analysis of ten patients with SEA.
  • Clinical evaluation, laboratory tests (including Erythrocyte Sedimentation Rate - ESR), and imaging (myelography, CT, MRI).

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  • Surgical drainage was performed in all cases.

    • Main Results:

    • The most common pathogen isolated was Staphylococcus aureus.
    • Elevated ESR was a consistent laboratory finding, aiding diagnosis.
    • Diagnosis was confirmed by imaging, with MRI proving most reliable.
    • Prognosis was linked to the delay in surgical treatment.

    Conclusions:

    • Early diagnosis and prompt surgical intervention are critical for favorable outcomes in SEA.
    • Identifying predisposing factors and recognizing clinical signs alongside elevated ESR are key.
    • Magnetic resonance imaging offers the highest diagnostic accuracy for SEA.