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Decreased morbidity from acute bacterial spinal epidural abscesses using computed tomography and nonsurgical treatment in selected patients
Author(s) -
Leys D.,
Lesoin F.,
Viaud C.,
Pasquier F.,
Rousseaux M.,
Jomin M.,
Petit H.
Publication year - 1985
Publication title -
annals of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.764
H-Index - 296
eISSN - 1531-8249
pISSN - 0364-5134
DOI - 10.1002/ana.410170408
Subject(s) - medicine , spinal epidural abscess , myelography , computed tomographic , computed tomography , antibiotics , surgery , radiology , neurological deficit , antibiotic therapy , abscess , spinal cord , microbiology and biotechnology , psychiatry , biology
We describe 5 patients with spinal epidural abscesses in whom computed tomographic scanning confirmed diagnosis with the use myelography. One patient required urgent surgery because of rapidly deteriorating neurological status, but the other 4 were treated nonsurgically. The medical treatment of these patients and 9 others described in the literature consisted of antibiotics administered parenterally for minimum of 8 weeks, followed by oral anitibiotic therapy. Early diagnosis with computed tomographic scanning and a benign neurological state at the state at the onset of treatment were associated with good results.