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Febrile cervicalgia revealing infectious epiduritis : a case report – Lumbar Spinal Stenosis

The article discusses infectious epiduritis and epidural abscesses, which are rare but have significant neurological consequences. Due to their low incidence and subtle symptoms, these conditions are often diagnosed late, leading to worse prognosis and neurological deficits. The diagnosis is primarily made through magnetic resonance imaging (MRI) since lumbar puncture is contraindicated. While surgery, specifically spinal decompression, has been the preferred treatment, there is currently a debate between surgical intervention and conservative management with systemic antibiotic therapy. PMID: 38095031

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spinal hospital in London

Published article

Infectious epiduritis and epidural abscesses are relatively rare pathologies but with important neurological consequences. A low incidence associated with an insidious clinical presentation leads to frequent delays in diagnosis, which worsen the prognosis of patients with the development of neurological deficits. While the evaluation of risk factors, a careful clinical examination and biological tests can guide to the diagnosis, the key examination remains magnetic resonance imaging (MRI) while…

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Rev Med Liege. 2023 Dec;78(12):685-688.ABSTRACTInfectious epiduritis and epidural abscesses are relatively rare pathologies but with important neurological consequences. A low incidence associated with an insidious clinical presentation leads to frequent delays in diagnosis, which worsen the prognosis of patients with the development of neurological deficits. While the evaluation of risk factors, a careful clinical examination,

Rev Med Liege. 2023 Dec;78(12):685-688.

ABSTRACT

Infectious epiduritis and epidural abscesses are relatively rare pathologies but with important neurological consequences. A low incidence associated with an insidious clinical presentation leads to frequent delays in diagnosis, which worsen the prognosis of patients with the development of neurological deficits. While the evaluation of risk factors, a careful clinical examination and biological tests can guide to the diagnosis, the key examination remains magnetic resonance imaging (MRI) while lumbar puncture remains contraindicated. Although surgery (spinal decompression) has long been the treatment of choice, the current management of patients with infectious epiduritis is debated between surgery and conservative treatment with systemic antibiotic therapy.

PMID:38095031

The London Spine Unit : the highest rated spinal hospital in London

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Febrile cervicalgia revealing infectious epiduritis : a case report

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Rev Med Liege. 2023 Dec;78(12):685-688.ABSTRACTInfectious epiduritis and epidural abscesses are relatively rare pathologies but with important neurological consequences. A low incidence associated with an insidious clinical presentation leads to frequent delays in diagnosis, which worsen the prognosis of patients with the development of neurological deficits. While the evaluation of risk factors, a careful clinical examination

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