Causes and risk factors
Infection with Staphylococcus aureus is the common cause. In some cases the source of infection can be a fungus. Risk factors include persistent sinus infection, chronic ear infection, and head injury. Spinal epidural abscess risk factors include infection of the bones in the spine or surgical procedures on the back.
Clinical presentation
Patient presents with symptoms such as headache, altered level of consciousness, or fever. There is difficulty with coordination and movement, difficulty walking, muscular weakness, pain in the back. Additional symptoms include bowel and bladder incontinence, nausea and vomiting, and lethargy.
Investigation
Medical history by the patient and clinical examination by the doctor helps in diagnosis. CT scan, MRI of brain is recommended. Lab investigation of sample of the abscess is obtained.
Treatment
Antibiotics to treat infection are prescribed. Surgery to drain the abscess and reduce pressure over the spinal cord or brain is advised.
Other Modes of treatment
The other modes of treatment can also be effective in treating epidural abscess. Homoeopathy is a science which deals with individualization and considers a person in a holistic way. This science can be helpful in combating the symptoms. Similarly, the Ayurvedic system of medicine which uses herbal medicines and synthetic derivates are also found to be effective in treating epidural abscess.
