Abstract
Presentation, epidemiology, diagnosis and treatment of spinal epidural abscess (SEA) and intracranial epidural abscess (ICEA) are reviewed by researchers at The John's Hopkins University School of Medicine, Baltimore, MD, and Universidad de Santander, Columbia.
Highlights
Risk factors for SEA have increased in frequency and include injected-drug use, diabetes mellitus, invasive spinal procedures, spinal trauma, immunosuppression, skin infections, and bacteremia
The most common risk factor for ICEA is frontal sinusitis; 60-90% of cases are associated with otitis or sinusitis
Mycobacterium tuberculosis is common in some geographic areas
Summary
Three mothers with 4 children exposed to vigabatrin in utero (but not breast fed) underwent perimetry and imaging of the retinal nerve fiber layer (RNFL) at the University Hospital of Wales and School of Optometry, Cardiff, UK. Presentation, epidemiology, diagnosis and treatment of spinal epidural abscess (SEA) and intracranial epidural abscess (ICEA) are reviewed by researchers at The John’s Hopkins University School of Medicine, Baltimore, MD, and Universidad de Santander, Columbia. Risk factors for SEA have increased in frequency and include injected-drug use, diabetes mellitus, invasive spinal procedures, spinal trauma, immunosuppression, skin infections, and bacteremia. The most common risk factor for ICEA is frontal sinusitis; 60-90% of cases are associated with otitis or sinusitis. Other factors include post-traumatic infections, nasal or mastoid surgical procedures, and congenital defects of the anterior cranial fossa.
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