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Definition
Epidural abscess formation .either spontaneously or after attempted or successful epidural anaesthesia
Presentation
one-Back pain pain along nerve root distribution weakness
two-Progressive weakness with abscess formation if abscess left untreated paraplegia
three-Neck ftiffness headacke signs of meningitis
four-Fever .tenderness at epidural site
six-leucocytosis
Differential
Epidural hematoma
muscular or ligamentous injury related to needle placement
Residual local anaesthesia effect
spinal artery thrombosis
Immediate Management
Stop Epidural drug administrationj
Emergency MRI
Emergency neurosurgical consultation for drainage of abscess
Risk factors
Existing infection
Diabetes mellitus
cancer
steroid use
alcohol abuse
[left][b]
Epidural abscess formation .either spontaneously or after attempted or successful epidural anaesthesia
Presentation
one-Back pain pain along nerve root distribution weakness
two-Progressive weakness with abscess formation if abscess left untreated paraplegia
three-Neck ftiffness headacke signs of meningitis
four-Fever .tenderness at epidural site
six-leucocytosis
Differential
Epidural hematoma
muscular or ligamentous injury related to needle placement
Residual local anaesthesia effect
spinal artery thrombosis
Immediate Management
Stop Epidural drug administrationj
Emergency MRI
Emergency neurosurgical consultation for drainage of abscess
Risk factors
Existing infection
Diabetes mellitus
cancer
steroid use
alcohol abuse
[left][b]
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