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Case Reports in Infectious Diseases
Volume 2016, Article ID 7958291, 4 pages
Case Report

Rapidly Progressive Spontaneous Spinal Epidural Abscess

1Neurosurgery Department, Yuzuncu Yıl University Faculty of Medicine, 65040 Van, Turkey
2Neurosurgery Department, Bagcilar Training and Research Hospital, Istanbul, Turkey
3Pediatric Department, Private İstanbul Hospital, Van, Turkey

Received 21 January 2016; Accepted 17 July 2016

Academic Editor: Paola Di Carlo

Copyright © 2016 Abdurrahman Aycan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Spinal epidural abscess (SEA) is a rare disease which is often rapidly progressive. Delayed diagnosis of SEA may lead to serious complications and the clinical findings of SEA are generally nonspecific. Paraspinal abscess should be considered in the presence of local low back tenderness, redness, and pain with fever, particularly in children. In case of delayed diagnosis and treatment, SEA may spread to the epidural space and may cause neurological deficits. Magnetic resonance imaging (MRI) remains the method of choice in the diagnosis of SEA. Treatment of SEA often consists of both medical and surgical therapy including drainage with percutaneous entry, corpectomy, and instrumentation.