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NEUROLOGY 1980;30:844
© 1980 American Academy of Neurology

Infectious agents in spinal epidural abscesses

David M. Kaufman, M. D., Jerry G. Kaplan, M. D. and Nathan Litman, M. D.

Departments of Neurology and Pediatrics, Montefiore Hospital and Medical Center, Albert Einstein College of Medicine, Bronx, NY.

Of 27 cases of spinal epidural abscess, 19 were caused by bacteria, 7 by Mycobacterium tuberculosis, and 1 by Echinococcus granulosus. Blunt trauma and cutaneous infections were the most frequent preceding events in bacterial cases. Tuberculous abscess was usually the sole manifestation of reactivation of dormant tuberculosis. Drug addiction, the most common cause in young adults, was associated with gram-negative infections. Whatever the infectious agent, paraparesis for longer than 4 days led to a poor outcome. Myelography was the best diagnostic test, whereas lumbar puncture and percutaneous bone biopsy offered little specific information.

Address correspondence and reprint requests to Dr. Kaufman, Department of Neurology, Montefiore Hospital and Medical Center, 111 East 210th Street, Bronx, NY 10467.

Accepted for publication September 27, 1979.




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