Epidural abscess other imaging findings: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Epidural abscess}} | {{Epidural abscess}} | ||
{{CMG}} | {{CMG}} {{AE}} {{JS}}; {{AG}} | ||
==Overview== | ==Overview== | ||
[[X ray]] is likely not helpful in the diagnosis of epidural abscess. [[Myelography]] may be helpful in the diagnosis of epidural abscess, however it is now considered obsolete. | |||
==X Ray== | ==Other Imaging Findings== | ||
===X Ray=== | |||
[[X ray]] is likely not helpful in the diagnosis of epidural abscess. Findings on x ray suggestive of spinal epidural abscess include narrowing of the disk and bone [[lysis]] to indicate the presence of [[discitis]] and [[osteomyelitis]].<ref name="pmid17093252">{{cite journal |vauthors=Darouiche RO |title=Spinal epidural abscess |journal=The New England Journal of Medicine |volume=355 |issue=19 |pages=2012–20 |year=2006 |pmid=17093252 |doi=10.1056/NEJMra055111 |url=}}</ref><ref name=RadioSEA> Spinal Epidural Abscess. Radiopaedia.org (2015). http://radiopaedia.org/articles/spinal-epidural-abscess Accessed on November 20, 2015</ref> X ray is useful in evaluating possible [[skull fractures]], [[osteomyelitis]] lesions, [[discitis]], or [[foreign bodies]] lodged in the [[skull]] or [[spine]], which may be the source of the [[infection]].<ref name="Hendaus2013">{{cite journal|last1=Hendaus|first1=Mohammed A.|title=Subdural Empyema in Children|journal=Global Journal of Health Science|volume=5|issue=6|year=2013|issn=1916-9744|doi=10.5539/gjhs.v5n6p54}}</ref> In 30% of patients with epidural abscess, radiography demonstrated some abnormality, often presenting degenerative changes, [[vertebral]] end-plate destruction, or narrowing of the [[intervertebral disc]] space.<ref name="pmid8333809">{{cite journal| author=Maslen DR, Jones SR, Crislip MA, Bracis R, Dworkin RJ, Flemming JE| title=Spinal epidural abscess. Optimizing patient care. | journal=Arch Intern Med | year= 1993 | volume= 153 | issue= 14 | pages= 1713-21 | pmid=8333809 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8333809 }} </ref> | |||
[[Image:L5-S1 intervertebral narrowing.jpg|left|200px|thumb|Intervertebral narrowing at the level of L5-S1, with concomitant sclerosis of vertebral plateau<ref name=SEAXRay> Image courtesy of Dr Maxime St-Amant. [http://www.radiopaedia.org Radiopaedia] (original file [http://radiopaedia.org/cases/spondylodiscitis-l5-s1-with-epidural-abscesses "here"]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref>]] | |||
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===Myelography=== | |||
[[Myelography]] may be helpful in the diagnosis of epidural abscess. However, the invasiveness of this technique and possible [[complications]] give more relevance to the [[MRI]].<ref name="Grewal2006">{{cite journal|last1=Grewal|first1=S.|title=Epidural abscesses|journal=British Journal of Anaesthesia|volume=96|issue=3|year=2006|pages=292–302|issn=0007-0912|doi=10.1093/bja/ael006}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
Latest revision as of 21:36, 29 July 2020
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Epidural abscess other imaging findings On the Web |
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American Roentgen Ray Society Images of Epidural abscess other imaging findings |
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Risk calculators and risk factors for Epidural abscess other imaging findings |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]; Anthony Gallo, B.S. [3]
Overview
X ray is likely not helpful in the diagnosis of epidural abscess. Myelography may be helpful in the diagnosis of epidural abscess, however it is now considered obsolete.
Other Imaging Findings
X Ray
X ray is likely not helpful in the diagnosis of epidural abscess. Findings on x ray suggestive of spinal epidural abscess include narrowing of the disk and bone lysis to indicate the presence of discitis and osteomyelitis.[1][2] X ray is useful in evaluating possible skull fractures, osteomyelitis lesions, discitis, or foreign bodies lodged in the skull or spine, which may be the source of the infection.[3] In 30% of patients with epidural abscess, radiography demonstrated some abnormality, often presenting degenerative changes, vertebral end-plate destruction, or narrowing of the intervertebral disc space.[4]
Myelography
Myelography may be helpful in the diagnosis of epidural abscess. However, the invasiveness of this technique and possible complications give more relevance to the MRI.[6]
References
- ↑ Darouiche RO (2006). "Spinal epidural abscess". The New England Journal of Medicine. 355 (19): 2012–20. doi:10.1056/NEJMra055111. PMID 17093252.
- ↑ Spinal Epidural Abscess. Radiopaedia.org (2015). http://radiopaedia.org/articles/spinal-epidural-abscess Accessed on November 20, 2015
- ↑ Hendaus, Mohammed A. (2013). "Subdural Empyema in Children". Global Journal of Health Science. 5 (6). doi:10.5539/gjhs.v5n6p54. ISSN 1916-9744.
- ↑ Maslen DR, Jones SR, Crislip MA, Bracis R, Dworkin RJ, Flemming JE (1993). "Spinal epidural abscess. Optimizing patient care". Arch Intern Med. 153 (14): 1713–21. PMID 8333809.
- ↑ Image courtesy of Dr Maxime St-Amant. Radiopaedia (original file "here"). Creative Commons BY-SA-NC
- ↑ Grewal, S. (2006). "Epidural abscesses". British Journal of Anaesthesia. 96 (3): 292–302. doi:10.1093/bja/ael006. ISSN 0007-0912.