Epidural abscess classification
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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]
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.