Spinal Epidural Abscess: A Review of Presentation, Management, and Medicolegal Implications

Sharfman Zachary Tuvya; Gelfand Yaroslav; Shah Pryiam; Holtzman Ari Jacob; Mendelis Joseph Roy; Kinon Merritt Drew; Krystal Jonathan David; Brook Allan; Yassari Reza; Kramer David Claude

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자료유형: 학술저널

저자정보: Sharfman Zachary Tuvya (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Gelfand Yaroslav (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Shah Pryiam (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Holtzman Ari Jacob (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Mendelis Joseph Roy (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Kinon Merritt Drew (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Krystal Jonathan David (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Brook Allan (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Yassari Reza (Montefiore Medical Center Albert Einstein College of Medicine Bronx) Kramer David Claude (Montefiore Medical Center Albert Einstein College of Medicine Bronx)

저널정보: 대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.14 No.5

발행연도: 2020.1

수록면: 742 - 759 (18page)

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연구주제

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연구배경

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연구방법

🏆

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Spinal epidural abscess (SEA) is a rare condition associated with significant morbidity and mortality. Despite advances in diagnostic medicine, early recognition of SEAs remains elusive. The vague presentation of the disease, coupled with its numerous risk factors, the diagnostic requirement for obtaining advanced imaging, and the necessity of specialized care constitute extraordinary challenges to both diagnosis and treatment of SEA. Once diagnosed, SEAs require urgent or emergent medical and/or surgical management. As SEAs are a relatively rare pathology, high-quality data are limited and there is no consensus on their optimal management. This paper focuses on presenting the treatment modalities that have been successful in the management of SEAs and providing a critical assessment of how specific SEA characteristics may render one infection more amenable to primary surgical or medical interventions. This paper reviews the relevant history, epidemiology, clinical presentation, radiology, microbiology, and treatment of SEAs and concludes by addressing the medicolegal implications of delayed treatment of the disease.

#Spinal epidural abscess #Infections #Spine

참고문헌 (110)

참고문헌 신청

Tuchman A / 2014 / The indications and timing for operative management of spinal epidural abscess : literature review and treatment algorithm / Neurosurg Focus 37:E8

Tompkins M / 2010 / Spinal epidural abscess / J Emerg Med 39:384~390

Reihsaus E / 2000 / Spinal epidural abscess : a meta-analysis of 915 patients / Neurosurg Rev 23:175~204

Baker AS / 1975 / Spinal epidural abscess / N Engl J Med 293:463~468

Strauss I / 2013 / Spinal epidural abscess : in search of reasons for an increased incidence / Isr Med Assoc J 15:493~496

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