Epidural abscess differential diagnosis

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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

An epidural abscess is a rare suppurative infection of the central nervous system, a collection of pus localised in the epidural space lying outside the dura mater, which accounts for less than 2% of focal CNS infections. [1] It may occur in two different places: intracranially or in the spinal canal. The diagnosis of epidural abscess, due to the unspecific clinical symptoms, is rarely a quick diagnosis. It is suspected based on clinical findings, along with laboratory data and imaging tests, however it can only be confirmed by surgical drainage. According to the location of the abscess, different conditions must be considered in the differential diagnosis.

Differential Diagnosis

Intracranial Epidural Abscess

Spinal Epidural Abscess

References

  1. Longo, Dan L. (Dan Louis) (2012). Harrison's principles of internal medici. New York: McGraw-Hill. ISBN 978-0-07-174889-6.