Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

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Mosul Anesthesia & ICU

This website belong to department of anaesthesia & ICU in Mosul city , Iraq


    Epidural abscess

    anaesthesia
    anaesthesia


    عدد الرسائل : 6
    العمر : 34
    العمل/الترفيه : Student
    المزاج : Volatile
    تاريخ التسجيل : 2011-11-12

    Epidural abscess Empty Epidural abscess

    Post by anaesthesia Sat Nov 19, 2011 2:37 pm

    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



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