Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 730-732
DOI: 10.4103/ajns.AJNS_154_20
Case Report

Spinal epidural abscess post spinal anesthesia: An uncommon complication of a common procedure

Jeevesh Mallik
Department of Neurosurgery, Tata Main Hospital, Jamshedpur, Jharkhand
,
Vanita Motiani
1   Department of Internal Medicine, Ziauddin Medical University, Karachi
,
Manish Pai
2   Department of Neurosurgery, Denver Children's Hospital, Anschutz Medical Campus, University of Colorado, Aurora, Colorado
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Spinal epidural abscess (SEA) is a severe pyogenic infection of the epidural space. Bacteria gain access to the epidural space either by hematogenous spread, contiguous spread from a neighboring infected structure, or through iatrogenic inoculation. The diagnosis of SEA is a challenge, largely because of its rarity. We present here a case of SEA of iatrogenic origin (post spinal anesthesia), which we treated at Tata Main Hospital, Jamshedpur.

Key-words:

Hematogenous - iatrogenic - pyogenic - spinal epidural abscess

Financial support and sponsorship

Nil.




Publication History

Received: 11 April 2020

Accepted: 03 July 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Strohecker J, Grobovschek M. Spinal epidural abscess: An interdisciplinary emergency. Zentralbl Neurochir 1986;47:120-4.
  • 2 Rosc-Bereza K, Arkuszewski M, Ciach-Wysocka E, Boczarska-Jedynak M. Spinal epidural abscess: Common symptoms of an emergency condition. Neuroradiol J 2013;26:464-8.
  • 3 Darouiche RO. Spinal epidural abscess. N Engl J Med 2006;355:2012-20.
  • 4 Vakili M, Crum-Cianflone NF. Spinal epidural abscess: A series of 101 cases. Am J Med 2017;130:1458-63.
  • 5 Grewal S, Hocking G, Wildsmith JA. Epidural abscesses. Br J Anaesth 2006;96:292-302.
  • 6 Reihsaus E, Waldbaur H, Seeling W. Spinal epidural abscess: A meta-analysis of 915 patients. Neurosurg Rev 2000;23:175-204.
  • 7 Phillips JM, Stedeford JC, Hartsilver E, Roberts C. Epidural abscess complicating insertion of epidural catheters. Br J Anaesth 2002;89:778-82.
  • 8 Kindler CH, Seeberger MD, Staender SE. Epidural abscess complicating epidural anesthesia and analgesia. An analysis of the literature. Acta Anaesthesiol Scand 1998;42:614-20.
  • 9 Tang HJ, Lin HJ, Liu YC, Li CM Spinal epidural abscess-experience with 46 patients and evaluation of prognostic factors. J Infect 2002;45:76-81.
  • 10 Howell CJ, Dean T, Lucking L, Dziedzic K, Jones PW, Johanson RB. Randomised study of long term outcome after epidural versus non-epidural analgesia during labour. BMJ 2002;325:357-61.
  • 11 Rigamonti D, Liem L, Sampath P, Knoller N, Namaguchi Y, Schreibman DL, et al. Spinal epidural abscess: Contemporary trends in etiology, evaluation, and management. Surg Neurol 1999;52:189-96.
  • 12 Curry WT Jr., Hoh BL, Amin-Hanjani S, Eskandar EN. Spinal epidural abscess: Clinical presentation, management, and outcome. Surg Neurol 2005;63:364-71.
  • 13 Association of Anaesthetists of Great Britain and Ireland. Infection control in anaesthesia. Anaesthesia 2008;63:1027-36.
  • 14 Nesseler N, Launey Y, Aninat C, Morel F, Mallédant Y, Seguin P. Clinical review: The liver in sepsis. Crit Care 2012;16:235.