Epidural abscess

From IDWiki

Background

  • Infection of the epidural space, between the dura mater and bone
  • May be intracranial or spinal, with spinal being far more common
  • Acquired from contiguous spread (e.g. discitis, otitis media/sinusitis/mastoiditis, direct inoculation (e.g. spinal anaesthesia or neurosurgery), or hematogenous spread
  • Risk factors include intravenous drug use, hemodialysis, diabetes mellitus, and older age