Epidural abscess classification: Difference between revisions
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==Overview== | ==Overview== | ||
Epidural abscess may be classified | 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> | ||
==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=== | ===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. <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> | The [[abscess]] is limited on the inner side by the cranial [[dura mater]] and on the outer side by the 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=== | ===Spinal Epidural Abscess=== | ||
The [[abscess]] is limited on the inner side by the spinal [[dura mater]] and on the outer side, by the bony vertebral 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> | The [[abscess]] is limited on the inner side by the spinal [[dura mater]] and on the outer side, by the bony vertebral 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:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
Revision as of 20:37, 6 November 2015
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Epidural abscess Microchapters |
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Case Studies |
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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]
Overview
Epidural abscess may be classified according to the location of the infection into 2 groups: intracranial and spinal.[1]
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 bony vertebral 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.