Epidural abscess other imaging findings: Difference between revisions
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==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 [[Myelography]] may be helpful in the diagnosis of epidural abscess, however it is now considered outdated. | |||
==Other Imaging Findings== | ==Other Imaging Findings== | ||
===X Ray=== | ===X Ray=== | ||
[[X ray]] is not | [[X ray]] is likely not helpful in the diagnosis of epidural abscess. 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 in these patients, often reporting 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>]] | [[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>]] | ||
<br><br><br><br><br><br><br><br><br><br><br><br><br> | <br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br><br> | ||
===Myelography=== | ===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> | [[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:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Primary care]] | [[Category:Primary care]] | ||
Revision as of 20:46, 16 November 2015
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Epidural abscess Microchapters |
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Epidural abscess other imaging findings On the Web |
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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 outdated.
Other Imaging Findings
X Ray
X ray is likely not helpful in the diagnosis of epidural abscess. 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.[1] In 30% of patients with epidural abscess, radiography demonstrated some abnormality in these patients, often reporting degenerative changes, vertebral end-plate destruction, or narrowing of the intervertebral disc space.[2]
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.[4]
References
- ↑ 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.