61. Arch Pediatr Adolesc Med -- Page Not Found Denouement and Discussion Spinal epidural abscess. A repeated lumbar MRI (Figure3) showed a large epidural abscess with erosion into the paraspinal muscles. http://archpedi.ama-assn.org/issues/v154n4/ffull/prc2498-1b.html

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62. Absceso Epidural Espinal. Presentación De Un Caso Clínico Presentación de un caso clínico Spinal epidural abscess. A Clinical Case Bacterialspinal epidural abscess Review of 43 cases and literature survey. http://www.cfnavarra.es/salud/anales/textos/vol23/biblio11/bnotas1.html

Spinal Epidural Abscess. A Clinical Case , E. Portillo , J. Guridi , A. Gallo-Ruiz , J. Azcona , I. Zazpe , J. Olier 1. DAROUICHE RO, HAMILL RJ, GREENBERG SB, WEATHERS SW, MUSHER DM. Bacterial spinal epidural abscess: Review of 43 cases and literature survey. Medicine 1992; 71: 369-385. 2. NUSSBAUM ES, RIGAMONTI D, STANDIFOSR H, NUMAGUCHI Y, WOLF AL, ROBINSON W L. Spinal epidural abscess: A report of 40 cases and review. Surg Neurol 1992; 38: 225-231. 3. KHANNA RK, MALIK GM, ROCK JP, ROSENBLUM ML. Spinal epidural abscess: evaluation of factors influencing outcome. Neurosurgery 1996; 39: 958-964. 4. RIGAMONTI D, LIEM L, SAMPATH P, KNOLLER N, NAMAGUCHI Y, SCHREIBMAN DL et al. Spinal epidural abscess: contemporary trends in etiology, evaluation, and management. Surg Neurol 1999; 52: 189-196. 5. GO BM, ZIRING DJ, KOUNTZ DS. Spinal epidural abscess due to Aspergillus sp. in a patient with acquired inmunodeficiency syndrome. South Med J 1993; 86:957-960. 6. MACKENZIE AR, LAING RBS, SMITH CC, KAAR GF, SMITH FW.

63. Case Rounds: Case 10 Comment. An epidural abscess is a suppurative infection of the epiduralspace surrounding the brain or spinal cord. It is both a http://hopkins-id.edu/education/id_caserounds/caserounds10.html

Go to a section in Educational Case Rounds Events Archive Case 10: A 62 year old Man with an Epidural/Subdural Fluid Collection History of Present Illness Physical Examination Laboratory and Radiologic Data Differential Diagnosis ... Selected Readings By Christopher F. Carpenter, MD posted 9/9/1998 History of Present Illness Medications ceftriaxone, nafcillin, insulin, dexamethasone, labetalol, ticlopidine, baclofen, omeprazole Past Medical History Insulin requiring diabetes mellitus complicated by diabetic polyneuropathy Osteoarthritis Hypertension Coronary artery disease status post two vessel CABG '93 Chronic back pain and sciatica treated with lumbar laminectomy x 2 and multiple epidural steroid injections Lower extremity venous insufficiency Hiatal hernia Cerebrovascular accident '95 without significant residua Hypercholesterolemia Status post transurethral resection of the prostate Social History Married, lives with wife in Maryland and previously lived in West Virginia, works in dry cleaning industry, and denies alcohol, tobacco, or illicit drug use. They have two children, both alive and well, and they own no pets. Physical Examination He was afebrile with other vital signs within normal parameters. General - obese man who appears to be in no distress. Skin - no rash or lesions. HEENT - no significant abnormalities. Neck - supple without lymphadenopathy. Chest, heart, and abdomen were normal, although rectal tone was diminished and he had mid back spinal tenderness. Extremities - without edema. Neuro - oriented, cranial nerves II-XII intact, diminished sensation below T10 level, 3/5 strength in his right lower extremity and 2/5 strength in his left lower extremity, normal strength in his upper extremities, and normal reflexes in his upper extremities but absent reflexes in lower extremities with concomitant up-going toes.

64. Epidural Abscess epidural abscess. Alternate Names Abscess epidural. Causes and Risksepidural abscess is caused by infection in the area between http://www.rwjuhh.net/Atoz/encyclopedia/article/001416.asp

For a complete list of hospital classes and events, click here to connect to HealthConnection Online Medical Encyclopedia Encyclopedia Disease E -> Epidural abscess Epidural abscess Alternate Names: Abscess - epidural Causes and Risks: Epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the abscess in response to the infection. Most symptoms are due to enlargement of the abscess and surrounding inflammation which can lead to compression of tissues in the brain and spinal cord. The infection can result from the spread of nearby infections or it may be caused by microorganisms that spread from distant locations via the bloodstream. However, in up to one-third of patients, there is no identified source of infection.

65. Epidural Abscess Home Medical Reference Encyclopedia (English) Toggle English /Spanish epidural abscess. epidural abscess is a rare disorder. http://www.umm.edu/ency/article/001416.htm

Disease Nutrition Surgery Symptoms Injury ... Z Related Programs at UM Medical Center Department of Orthopaedics Home Medical Reference Encyclopedia (English) Toggle English Spanish Epidural abscess Overview Symptoms Treatment Prevention Definition: An inflammation including a collection of infected material (pus) between the dura (the outer membrane covering of the brain and spinal cord), and the bones of the skull or spine. Alternative Names: Abscess - epidural Causes, incidence, and risk factors: Epidural abscess is caused by infection in the area between the bones of the skull or spine, and the outer meninges (the membranes covering the brain and spinal cord). This infection is classified as intracranial epidural abscess if it is located in the skull area, or as a spinal epidural abscess if it is found in the spine area. The infection is usually caused by bacteria ( staphylococcus is common), but some may be caused by fungus. Infected material (pus) frequently includes destroyed tissue cells, white blood cells, and live or dead microorganisms which may wall off into an abscess. There is often inflammation of the tissues around the abscess in response to the infection.

66. JPMA - Full Article We report the case of a young woman with gramnegative meningitis secondary to ruptureof a spinal epidural abscess into the subarachnoid space. Case Report. http://jpma.org.pk/new/main/full.asp?article_NO=V50N11P393

67. Welcome To Medifocus! Diagnosis and Management of Spinal epidural abscess, XL469. Diagnosis and Managementof Spinal epidural abscess Updated Regularly. The Medifocus Guide Advantage. http://www.medifocuslegal.com/guide_detail.asp?gid=XL469&a=a

68. BioMed Central Abstract Brain Abscess, Subdural Empyema, And Report Brain Abscess, Subdural Empyema, and Intracranial epidural abscess DavidP Calfee MD and Brian Wispelwey MD Department of Medicine Division of http://www.biomedcentral.com/1523-3847/1/166/abstract

69. Searchalot Directory For Epidural Abscess Related Web Sites. Emergency Medinice An introduction to spinal epidural abscess,the clinical features, work up, treatment, medicine and follow up. http://www.searchalot.com/Top/Health/ConditionsandDiseases/NeurologicalDisorders

Home Search News Email Greetings Weather ... Global All the Internet About AltaVista AOL Search Ask Jeeves BBC Search BBC News Business Dictionary Discovery Health Dogpile CheckDomain CNN Corbis eBay Education World Employment Encyclopedia Encarta Excite Fast Search FindLaw FirstGov Google Google Groups Infomine iWon Librarians Index Looksmart Lycos Metacrawler Microsoft Northern Light Open Directory SearchEdu SearchGov Shareware Teoma Thesaurus Thunderstone WayBackMachine Webshots WiseNut Yahoo! Yahoo! Auctions Yahoo! News Yahooligans Zeal Sponsored Links Top Health Conditions and Diseases Neurological Disorders ... Spinal Cord : Epidural Abscess Related Web Sites Emergency Medinice - An introduction to spinal epidural abscess, the clinical features, work up, treatment, medicine and follow up. Med Help - A description of epidural abscess. Yahoo Health - A detailed look at epidural abscess including treatment, causes, incidence, risk factors, symptoms, prevention and testing. All the Internet About AltaVista AOL Search Ask Jeeves BBC Search BBC News Business Dictionary Discovery Health Dogpile CheckDomain CNN Corbis eBay Education World Employment Encyclopedia Encarta Excite Fast Search FindLaw FirstGov Google Google Groups Infomine iWon Librarians Index Looksmart Lycos Metacrawler Microsoft Northern Light Open Directory SearchEdu SearchGov Shareware Teoma Thesaurus Thunderstone WayBackMachine Webshots WiseNut Yahoo!

70. MemorialCare - Online Health Screenings By MyElectronicMD.com ENDOMETRIAL POLYPS ENDOMETRIOSIS ENTROPION EOSINOPHILIC GRANULOMA EPICONDYLITISOF THE ELBOW EPIDERMOID EPIDIDYMITIS epidural abscess epidural abscess OF THE http://mymd.i2net.com/mc_mymd/FindRef.asp?textfield=e

71. MemorialCare - Online Health Screenings By MyElectronicMD.com epidural abscess in the brain usually comes from direct spread frominfected sinuses or middle ear infections. They may occur after http://mymd.i2net.com/mc_mymd/refr.php?Id=849

72. SpringerLink: Eur J Orthop Surg Traumatol - Electronic Edition Eur J Orthop Surg Traumatol 10 199202 © Springer-Verlag France 2000.Case reports Course and prognosis of spinal epidural abscess. http://link.springer-ny.com/link/service/journals/00590/bibs/0010003/00100199.ht

Eur J Orthop Surg Traumatol 10: 199-202 © Springer-Verlag France 2000 Case reports Course and prognosis of spinal epidural abscess. Report of five cases Received January 25, 2000 / Accepted in final form July 15, 2000 Key words: Abscess Prognosis Spinal epidural abscess Correspondence to: S. Naderi Subscribers may view full text in HTML HTML-frames , (see notes on formats here.) Abstract Abstract. Five patients suffering from spinal epidural abscess associated with neurologic deficit are reported. Four patients underwent a decompressive procedure for abscess drainage, and one patient was medically treated. One of the patients showed a neurologic deterioration at the early postoperative period. The long-term follow-up showed a good outcome in all patients. It is concluded that epidural abscess associated with progressive neurologic deficit requires immediate decompression and administration of antibiotic. Postoperative neurological deterioration may be seen despite proper and immediate decompression and in such a case neurologic improvement is observed in the late postoperative period. Contents Complete article (click on HTML or HTML-frames References (in a separate window) Figures (Click on thumbnail to see figure in a separate window - about 40 KB for line drawings and 200 KB for halftones.)

73. Brain And Parameningeal Abscesses COMPLICATIONS. PROGNOSIS. CRANIAL epidural abscess. EPIDEMIOLOGY. PATHOGENESIS. DiagnosticImaging. TREATMENT. COMPLICATIONS. PROGNOSIS. SPINAL epidural abscess. http://www.pedid.chkd.org/054.htm

Chapter 5 Sheral S. Patel John R. Schreiber Reviews Dolan RW, Chowdury K: Diagnosis and treatment of intracranial complications of paranasal sinus infections. J Oral Maxillofac Surg Scheld WM, Whitley RJ, Durack DT (editors): Infections of the Central Nervous System . Raven, 1991. Rosenfeld EA, Rowley AH: Infectious intracranial complications of sinusitis, other than meningitis, in children: 12-year review. Clin Infect Dis References by Chapter Heading BRAIN ABSCESS Chun CH, Johnson JD, Ho t stetter M, et al: Brain abscess: A study of 45 consecutive cases. Medicine Mathisen GE, Johnson JP: Brain abscess. Clin Infect Dis Saez-Lorens XJ, et al: Brain abscess in infants and children. Pediatr Infec Dis J Woods CR Jr: Brain abscess and other intracranial suppurative complications. Adv Pediatr Infect Dis EPIDEMIOLOGY PATHOGENESIS Enzmann DR, Britt RH, Yeager AS: Experimental brain abscess evolution: Computed tomographic and neuropathologic correlation. Radiology Fischbein CA, Rosenthal A, Fischer EG, et al: Risk factors for brain abscess in patients with congenital heart disease.

74. Epidural Abscess - Overview epidural abscess. Alternative names Abscess epidural. An epidural abscess of thespine may cause sudden severe neurologic losses and may be life threatening. http://www.wfubmc.edu/besthealth/ency/article/001416.htm

Disease Injury Nutrition Poison ... Prevention Epidural abscess Alternative names: Abscess - epidural Definition: A disorder characterized by inflammation and a collection of infected material (pus) between the dura (the outer membrane covering of the brain and spinal cord) and the bones of the skull or spine. Causes, incidence, and risk factors: An epidural abscess is caused by infection in the skull or spine, located in the area between the bones of the skull and/or spine and the meninges (the membranes covering the brain and spinal cord). The infection is usually bacterial (staphylococcus is common) but may be fungal or viral. Pus is formed by a collection of fluid, destroyed tissue cells, white blood cells, and live and dead microorganisms. The pus becomes enclosed(encapsulated) by a lining or membrane that forms at the edges of the fluid collection. There is inflammation of the tissues around the abscess in response to the infection. General symptoms such as fever are usually present as a result of the infection. Enlargement of the abscess and swelling in conjunction with inflammation cause symptoms because of compressed tissues in the brain and spinal cord. An epidural abscess of the head usually enlarges slowly and causes gradual, progressive loss of neurologic functions (such as movement and sensation). An epidural abscess of the spine may cause sudden severe neurologic losses and may be life threatening.

75. ICP Monitors Spinal epidural abscess. Epidemiology. • One 1. Pain is most consistentsymptom of of spinal epidural abscess (90% of cases). Acute http://ots.utoronto.ca/users/howardg/spinalepidural.html

Spinal Epidural Abscess Epidemiology • One case per year at large metropolitan hospitals. Pathology Purulent material may fill the epidural space in acute infections. Granulation tissue is present in most chronic cases. Epidural infection may extend over several segments. Typically, there is compression of the cord. Compression thrombosis thrombophlebitis of the veins of the cord and epidural space are common. There is venous infarction and edema of the cord. Anatomical Considerations • Dura is usually adherent anteriorly to posterior longitudinal ligament. • Epidural space varies with the diameter of the spinal cord. The cervical spinal cord enlargement obliterates the epidural space from C3-C7 and is narrow again between T11-L2. Epidural space is circumferential S2 and below. • Most epidural abscesses are therefore posterolateral in location in thoracic or lumbar regions where space is largest. • Anterior abscess rare except in cervical region when associated with osteomyelitis. • Paralysis of caudal segments of cord rarely reversible with acute infection of the epidural space.

76. Lumbar Spinal Epidural Abscesses Selected saggital and axial images shown above demonstrate findings consistentwith a lumbar spinal epidural abscess. Bacterial spinal epidural abscess. http://home.earthlink.net/~radiologist/tf/100101.htm

Reihsaus E, Waldbaur H, Seeling W. Spinal epidural abscess: a meta-analysis of 915 patients. Neurosurg Rev 2000 Dec;23(4):175-204; discussion 205 PMID:11153548 Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ. Hematogenous pyogenic spinal infections and their surgical management. Spine 2000 Jul 1;25(13):1668-79 PMID:10870142 Anand S, Maini L, Agarwal A, Singh T, Dhal AK, Dhaon BK. Spinal epidural abscess - a report of six cases. Int Orthop 1999;23(3):175-7 PMID:10486032 Chow GH, Gebhard JS, Brown CW. Multifocal metachronous epidural abscesses of the spine. A case report. Spine 1996 May 1;21(9):1094-7 PMID:8724097 Darouiche RO, Hamill RJ, Greenberg SB, Weathers SW, Musher DM. Bacterial spinal epidural abscess. Review of 43 cases and literature survey. Medicine (Baltimore) 1992 Nov;71(6):369-85 PMID:1359381 Ferree BA, Stambough JL, Greiner AL. Spinal epidural abscess. A case report and literature review. Orthop Rev 1989 Jan;18(1):75-80 PMID:2644615 Wang JS, Fellows DG, Vakharia S, Rosenbaum AE, Thomas PS. Epidural abscessearly magnetic resonance imaging detection and conservative therapy. Anesth Analg 1996 May;82(5):1069-71 PMID:8610870 Kotilainen E, Sonninen P, Kotilainen P. Spinal epidural abscess: an unusual cause of sciatica. Eur Spine J 1996;5(3):201-3 PMID:8831125

77. International Epidural Awareness Program Arrest; Back problems; Bacterial Meningitis; epidural abscess; LumbosacralNerve Injury; Femoral Nerve Injury; epidural abscess. Sings http://www.nt.net/lerouxma/complications.htm

International Epidural Awareness Program Gaining knowledge through research and understanding Mother complications Baby Complications Epidural Complications Since the introduction of the Epidural in the mid 1930's, laboring mothers have been given epidurals on a more frequent basis. Throughout this time there has been numerous studies indicating problems with the use of epidurals. There are many complications that can occur during an epidural, some of which are mild but some are extremely serious and can even cause cardiac arrest and death. The reasons for which these complications arise vary depending on the drugs used, dose administered, and concentration of certain drugs; Furthermore, without careful monitoring, a small complication can quickly become serious and problematic for the mother and child. One must take a serious look at these complications and know them before an epidural is given. The patient should question the doctor on what is given during an epidural and what is to be expected. To often the doctor doesn't inform the patient on all aspects of the epidural, afraid that it might scare the mother away from having an epidural. If this is the case, he is not doing his duty on informing the patient in order for her to make an informed decision. In 1975 Usubiaga reviewed 750,000 epidural anesthetics and found an incidence of severe neurological complications of 1:11,000.

78. 190 2 Voice Medical A. Yes. Q. What did he say about that? A. C4, 5. Q. Did he mention anything aboutan epidural abscess? A. Yes. Q. That did he say about an epidural abscess? http://www.stenospeed.com/soundfiles/180wpm/190med_2.htm

Q. Dr. Croft, you are a physician licensed to practice medicine in the State of New York? A. Yes. Q. When were you so licensed? A. I think 1980. Q. Prior to being licensed to practice in the State of New York, where did you take your medical education? A. Tufts University School of Medicine, Boston Massachusetts. Q. When did you graduate? A. 1979. Q. Following graduation from medical school, did you take any additional or advanced training? A. Yes, surgical residency. Q. Where did you take your surgical residency? A. University of Arizona School of Medicine. Q. When did you complete that? A. I did an internship and one year of residency in '79-'80, '80-'81. Q. Following that surgical residency, what did you do next professionally?

79. Absceso Epidural Con Hiperostosis Del Hueso Y Seno Frontal. Translate this page REFERENCIAS BIBLIOGRAFICAS 1. Gellin BG, Weingarten K, Gamache JR, Hartman BJ EpiduralAbscess. 3. Brown AP, Derdyn C, Docey R Intracranial epidural abscess. http://www.neuroc.sld.cu/papers/TL-abscesoepidural.htm

Ir a Temas Libres Home Page Ir a Conferencias Absceso epidural con hiperostosis del hueso y seno frontal. Presentación de un caso. Autores: Dr. Gil Cruz Juan J. *, Dr. Felipe Morán Armando **, Dr. Choy Piña Roberto ***,  *     Especialista de I grado en Neurocirugía. **   Especialista de II grado en Neurocirugía, Profesor Asistente, Investigador Agregado, Jefe Servicio Neurocirugía HMC "Dr. Luis Díaz Soto". ***   Especialista de I Grado en Neurocirugía y Profesor Instructor. Correo Electrónico : Dr. Armando Felipe Morán afelipe@cubasi.cu CENTRO: HMC ’’ Dr. Luis Díaz Soto’’ LOCALIDAD: Ciudad de la Habana, CUBA RESUMEN: Los abscesos epidurales son enfermedades poco frecuentes  en la Neurocirugía, para algunos autores constituyen entre el 5 y el 25 % de las patologías intracraneales infecciosas y generalmente están asociados intervenciones neuroquirúrgicas y  focos de sepsis de senos aéreos  o traumatismos. Se reporta una paciente donde se encuentra asociado el absceso a una gran hiperostosis reactiva, consecuencia de un trauma de hueso y seno frontal derecho. Se realizó una revisión amplia de la literatura y no se encontraron casos con características similares. Palabras clave: absceso epidural, cirugía, hiperostosis hueso frontal, infección.

80. Epidural Misadventures: A Review Of The Risk And Complications Associated With E to mind include prolonged neural blockade, backache, trauma to nerve roots, caudaequina syndrome, epidural hematoma, epidural abscess, adhesive arachnoiditis http://www.oyston.com/anaes/local/muir.html

Epidural Misadventures: A review of the risk and complications associated with epidural anaesthesia Holly A. Muir, MD, FRCPC Department of Anaesthesia, Dalhousie University IWK Grace Health Centre Halifax, Nova Scotia Canada HTML version by Dr John Oyston A test of your comprehension of this article is available. Are you game to TRY IT Complications from the use of regional anesthesia have been reported from the onset of its use. The first report of spinal headache was in 1899 by August Bier on his own experience with a spinal anaesthetic performed using a Quinke cut needle. He also noted a complaint of backache with his experience. The now infamous 'Wooley and Roe' case of 1954 led to the almost virtual abandonment of spinal and epidural techniques in Britain for more than 2 decades The usual list quoted to patients regarding risks associated with regional anaesthesia include block failure, backache, infection (localized and CNS), headache, accidental intravascular injection, inadvertent total spinal, neurologic injury (from peripheral nerve injury to paralysis) and death or brain injury. As one recites this list, the actual likelihood of suffering this complication is often not well communicated to the patient. This may reflect a lack of real comprehension by the informer, but often results from the tendency by the patient to recall only the most sinister of complications.

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