Epidural abscess classification: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Epidural abscess}} | {{Epidural abscess}} | ||
{{CMG}} | {{CMG}} {{AE}} {{JS}}; {{AG}} | ||
==Overview== | |||
Epidural abscess may be classified according to the location of the infection into 2 groups: intracranial and spinal.<ref name="DannerHartman1987">{{cite journal|last1=Danner|first1=R. L.|last2=Hartman|first2=B. J.|title=Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature|journal=Clinical Infectious Diseases|volume=9|issue=2|year=1987|pages=265–274|issn=1058-4838|doi=10.1093/clinids/9.2.265}}</ref> Additionally, spinal epidural abscess can be further classified based on the duration of symptoms into either acute or chronic. | |||
==Classification== | ==Classification== | ||
Epidural abscess may be classified according to the location of the infection into 2 groups: intracranial and spinal.<ref name="DannerHartman1987">{{cite journal|last1=Danner|first1=R. L.|last2=Hartman|first2=B. J.|title=Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature|journal=Clinical Infectious Diseases|volume=9|issue=2|year=1987|pages=265–274|issn=1058-4838|doi=10.1093/clinids/9.2.265}}</ref> | |||
===Intracranial Epidural Abscess=== | |||
The [[abscess]] is limited on the inner side by the cranial [[dura mater]] and on the outer side by the [[skull|cranial bone]].<ref name="pmid15043336">{{cite journal| author=Fountas KN, Duwayri Y, Kapsalaki E, Dimopoulos VG, Johnston KW, Peppard SB et al.| title=Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature. | journal=South Med J | year= 2004 | volume= 97 | issue= 3 | pages= 279-82; quiz 283 | pmid=15043336 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15043336 }} </ref> | |||
===Spinal Epidural Abscess=== | |||
The [[abscess]] is limited on the inner side by the spinal [[dura mater]] and on the outer side, by the [[spinal canal]].<ref name="pmid24340840">{{cite journal| author=Strauss I, Carmi-Oren N, Hassner A, Shapiro M, Giladi M, Lidar Z| title=Spinal epidural abscess: in search of reasons for an increased incidence. | journal=Isr Med Assoc J | year= 2013 | volume= 15 | issue= 9 | pages= 493-6 | pmid=24340840 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24340840 }} </ref> Spinal epidural abscess can be further classified based on the duration of symptoms into either acute or chronic. | |||
====Acute==== | |||
*[[Fever]] | |||
*Systemic [[toxicity]] | |||
*Peripheral [[leukocytosis]] | |||
*Usually posterior to [[spinal cord]] | |||
====Chronic==== | |||
*[[Fever]] absent | |||
*No elevated inflammation markers | |||
*Usually anterior to [[spinal cord]] | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
Latest revision as of 21:35, 29 July 2020
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Epidural abscess Microchapters |
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Epidural abscess classification On the Web |
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American Roentgen Ray Society Images of Epidural abscess classification |
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Risk calculators and risk factors for Epidural abscess classification |
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
Epidural abscess may be classified according to the location of the infection into 2 groups: intracranial and spinal.[1] Additionally, spinal epidural abscess can be further classified based on the duration of symptoms into either acute or chronic.
Classification
Epidural abscess may be classified according to the location of the infection into 2 groups: intracranial and spinal.[1]
Intracranial Epidural Abscess
The abscess is limited on the inner side by the cranial dura mater and on the outer side by the cranial bone.[2]
Spinal Epidural Abscess
The abscess is limited on the inner side by the spinal dura mater and on the outer side, by the spinal canal.[3] Spinal epidural abscess can be further classified based on the duration of symptoms into either acute or chronic.
Acute
- Fever
- Systemic toxicity
- Peripheral leukocytosis
- Usually posterior to spinal cord
Chronic
- Fever absent
- No elevated inflammation markers
- Usually anterior to spinal cord
References
- ↑ 1.0 1.1 Danner, R. L.; Hartman, B. J. (1987). "Update of Spinal Epidural Abscess: 35 Cases and Review of the Literature". Clinical Infectious Diseases. 9 (2): 265–274. doi:10.1093/clinids/9.2.265. ISSN 1058-4838.
- ↑ Fountas KN, Duwayri Y, Kapsalaki E, Dimopoulos VG, Johnston KW, Peppard SB; et al. (2004). "Epidural intracranial abscess as a complication of frontal sinusitis: case report and review of the literature". South Med J. 97 (3): 279–82, quiz 283. PMID 15043336.
- ↑ Strauss I, Carmi-Oren N, Hassner A, Shapiro M, Giladi M, Lidar Z (2013). "Spinal epidural abscess: in search of reasons for an increased incidence". Isr Med Assoc J. 15 (9): 493–6. PMID 24340840.