Epidural abscess differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Intracranial epidural abscess must be differentiated from [[epidural hematoma]], [[subdural empyema]], [[brain abscess]], [[tuberculous meningitis]], and other intracranial mass lesions. Spinal epidural abscess must be differentiated from other conditions that cause [[back pain]], | Intracranial epidural abscess must be differentiated from [[epidural hematoma]], [[subdural empyema]], [[brain abscess]], [[tuberculous meningitis]], and other intracranial mass lesions. Spinal epidural abscess must be differentiated from other conditions that cause [[back pain]], [[weakness]], and spinal [[tenderness]], such as [[arthritis]], [[osteoarthritis]], [[intervertebral disc]] disease, [[vertebral osteomyelitis]], [[primary tumor|primary]] or [[metastatic tumor]]s, and [[musculoskeletal pain]]. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Intracranial Epidural Abscess=== | ===Intracranial Epidural Abscess=== | ||
Intracranial epidural abscess must be differentiated from other diseases that cause [[headache]], | Intracranial epidural abscess must be differentiated from other diseases that cause [[headache]], [[vomiting]], [[fever]], [[altered mental status]], [[seizures]], [[cranial nerve]] abnormalities, and [[paresis]].<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> Intracranial epidural abscess must be differentiated from: | ||
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===Spinal Epidural Abscess=== | ===Spinal Epidural Abscess=== | ||
Spinal epidural abscess must be differentiated from other diseases that cause [[back pain]], [[fever]], | Spinal epidural abscess must be differentiated from other diseases that cause [[back pain]], [[fever]], [[weakness]], and spinal [[tenderness]].<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><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><ref name="pmid1467114">{{cite journal| author=Ngan Kee WD, Jones MR, Thomas P, Worth RJ| title=Extradural abscess complicating extradural anaesthesia for caesarean section. | journal=Br J Anaesth | year= 1992 | volume= 69 | issue= 6 | pages= 647-52 | pmid=1467114 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1467114 }} </ref><ref name="pmid5641580">{{cite journal| author=Keon-Cohen BT| title=Epidural abscess simulating disc hernia. | journal=J Bone Joint Surg Br | year= 1968 | volume= 50 | issue= 1 | pages= 128-30 | pmid=5641580 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=5641580 }} </ref> Therefore, spinal epidural abscess must be differentiated from: | ||
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Revision as of 18:31, 23 November 2015
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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
Intracranial epidural abscess must be differentiated from epidural hematoma, subdural empyema, brain abscess, tuberculous meningitis, and other intracranial mass lesions. Spinal epidural abscess must be differentiated from other conditions that cause back pain, weakness, and spinal tenderness, such as arthritis, osteoarthritis, intervertebral disc disease, vertebral osteomyelitis, primary or metastatic tumors, and musculoskeletal pain.
Differential Diagnosis
Intracranial Epidural Abscess
Intracranial epidural abscess must be differentiated from other diseases that cause headache, vomiting, fever, altered mental status, seizures, cranial nerve abnormalities, and paresis.[1] Intracranial epidural abscess must be differentiated from:
Spinal Epidural Abscess
Spinal epidural abscess must be differentiated from other diseases that cause back pain, fever, weakness, and spinal tenderness.[2][3][4][5] Therefore, spinal epidural abscess must be differentiated from:
References
- ↑ 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.
- ↑ Grewal, S. (2006). "Epidural abscesses". British Journal of Anaesthesia. 96 (3): 292–302. doi:10.1093/bja/ael006. ISSN 0007-0912.
- ↑ 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.
- ↑ Ngan Kee WD, Jones MR, Thomas P, Worth RJ (1992). "Extradural abscess complicating extradural anaesthesia for caesarean section". Br J Anaesth. 69 (6): 647–52. PMID 1467114.
- ↑ Keon-Cohen BT (1968). "Epidural abscess simulating disc hernia". J Bone Joint Surg Br. 50 (1): 128–30. PMID 5641580.