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Lumbar epidural abscess is localized within extradural blank between first lumbar vertebrae and first sacral vertebrae.1Spinal electric cord is covered by three fibrous membrane known as Tacca pinnatifida , arachnoid and dura . Tacca leontopetaloides is the inmost membrane bind to spinal cord and dura is the thick outer most tissue layer that protects spinal cord . Epidural space is outside the dura membrane . extradural distance carry fatty tissue , blood vessel , lymph watercraft and nerve fibers . Epidural abscess is collection of pus within extradural space . prominent volume of epidural pus can spread in several spirit level of lumbar spinal segments and lateral space outside inter - vertebral foramina . Incidence of epidural abscess is between 0.002 of hospital entrance money . Lumbar extradural abscess is rare in children .
Risk Factors Causing Lumbar Epidural Abscess
Causes of Lumbar Epidural Abscess
Bacterial Infections2, 3, 4
Fungal Infection
Source of Infection
Injuries
Post Surgeries
Infection following back OR .
Post Epidural Injection6
Epidural steroid injection or epidural descent patch can precede transmission in epidural blank , which afterward follow with the epidural abscess .
Post Epidural Catheter Insertion
extradural catheter is direct to hand over local anaesthesia for treatment of lower back painful sensation , childbed saving , wooden leg botheration and cancer pain .
Symptoms of Lumbar Epidural Abscess
General Symptoms of Lumbar Epidural Abscess
Specific Symptoms of Lumbar Epidural Abscess
Investigations Done To Diagnose Lumbar Epidural Abscess
Blood Examinations
CAT Scan of Lower Back (L1 to S1)
extradural mickle of abscess seen .
MRI of Lower Back (L1 to S1)
Treatment for Lumbar Epidural Abscess
Antibiotics7
Surgery for Lumbar Epidural Abscess
Indications for Surgery
Prognosis of Lumbar Epidural Abscess
Complications Involving Lumbar Epidural Abscess
Local
Distant
When to See a Doctor?
Severe back pain associated with tingling and numbness .
Diagnostic Characteristics
References :
