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  • severe
  • Back pain is the most common symptom (70-90% of cases, described as relentless and severe), followed by fever (60%-90%), spinal tenderness (up to one-third of cases) and paresthesia (35% of cases). (cancertherapyadvisor.com)
  • When should I suspect spinal epidural abscess in my 55 year old patient with severe back pain? (pearls4peers.com)
  • Most common causes include iatrogenic lumbar punctures, burst fractures resulting in posterior migration of fragments of the vertebral body, severe disc herniations, spinal anaesthesia involving trauma from catheters and high local anaesthetic concentrations around the cauda equina, penetrating trauma such as knife wounds or ballistic trauma. (wikipedia.org)
  • If surgery allows, spinal anaesthesia is very useful in patients with severe respiratory disease such as COPD as it avoids intubation and ventilation. (wikipedia.org)
  • In adults it can lead to severe consequences such as sepsis or epidural abscess but can also spontaneously resolve, especially in children under 8 years of age. (wikipedia.org)
  • symptoms
  • The signs and symptoms of epidural abscess may be nonspecific : including back pain, sepsis, with varying neurological deficits, which may present late. (hku.hk)
  • It was the defendant's position that his symptoms on the day in question were not typical of how a spinal abscess presents and that there was no way he could have known what was going to happen the next day. (lubinandmeyer.com)
  • Cauda equina syndrome (CES) is symptoms due to damage to the bundle of nerves below the end of the spinal cord known as the cauda equina. (wikipedia.org)
  • The main symptoms and signs of a skin abscess are redness, heat, swelling, pain, and loss of function. (wikipedia.org)
  • anaesthesia
  • Spinal anaesthesia is a commonly used technique, either on its own or in combination with sedation or general anaesthesia. (wikipedia.org)
  • The technique of "single-shot" lumbar epidural anaesthesia was first developed in 1921 by Spanish military surgeon Fidel Pagés (1886-1923). (wikipedia.org)
  • Spinal anaesthesia is a technique whereby a local anaesthetic drug is injected into the cerebrospinal fluid. (wikipedia.org)
  • This technique has some similarity to epidural anaesthesia, and lay people often confuse the two techniques. (wikipedia.org)
  • Chronic
  • Chronic spinal inflammatory conditions such as Paget disease, neurosarcoidosis, chronic inflammatory demyelinating polyneuropathy, ankylosing spondylitis and chronic tuberculosis can cause it. (wikipedia.org)
  • commonly
  • Non-radicular back pain is most commonly caused by injury to the spinal muscles or ligaments, degenerative spinal disease, or a herniated disk. (wikipedia.org)
  • The term is most commonly used to refer to epidural administration of analgesics and anesthetics. (wikipedia.org)
  • nerves
  • This narrowing can be caused by bone spurs, spondylolisthesis, inflammation, or a herniated disc, which decreases available space for the spinal cord, thus pinching and irritating nerves from the spinal cord that travel to the sciatic nerves. (wikipedia.org)
  • analgesics
  • Epidural lysis of adhesions (LOA), also known as percutaneous adhesiolysis or the Racz procedure, is a minimally invasive spine surgery which involves the dissolution of epidural scar tissue by mechanical means to facilitate the spread of analgesics in an effort to alleviate pain. (wikipedia.org)
  • intravenous
  • Incidence of SEA is on the rise, due to factors such as an aging population, increase in use of invasive spinal instrumentation, growing number of patients with risk factors such as diabetes and intravenous drug use. (wikipedia.org)
  • Risk factors for abscess formation include intravenous drug use. (wikipedia.org)
  • inflammation
  • 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. (dmoztools.net)
  • space
  • The spinal epidural space is a contiguous vertical sleeve filled with fat, arteries and venous complexes. (cancertherapyadvisor.com)
  • Due to its ventral location in the epidural space, the patient underwent open pus and irrigation following gram-stain culture. (pubmedcentralcanada.ca)
  • SEAs are more common in posterior than anterior areas, and the most common location is the thoracolumbar area, where epidural space is larger and contains more fat tissue. (wikipedia.org)
  • Epidural administration (from Ancient Greek ἐπί, "on, upon" + dura mater) is a medical route of administration in which a drug or contrast agent is injected into the epidural space of the spinal cord. (wikipedia.org)
  • tenderness
  • The typical presentation includes fever, localized spinal tenderness or back pain and progressive neurological deficits, but the classic triad of back pain, fever, and neurologic deficit is seen in about 8%-37% of cases. (cancertherapyadvisor.com)
  • There was no spinal tenderness or limitation in range of motion of his back and hips. (aappublications.org)
  • tuberculosis
  • Inability to walk, with this unusual sensory examination completes a triad of signs and usually represents spinal tuberculosis. (wikipedia.org)
  • It can be caused due to spinal tuberculosis and spread along spinal ligament to involve the adjacent anterior vertebral bodies, causing angulation of the vertebrae with subsequent kyphosis. (wikipedia.org)