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Clinical Pediatrics, Vol. 13, No. 3, 247-253 (1974)
DOI: 10.1177/000992287401300309

Spinal Epidural Abscess in Children

Early Diagnosis and Immediate Surgical Drainage Is Essential To Forestall Paralysis

Robert N. Enberg

Department of Pediatrics and Neurosurgery, University of New Mexico School of Medicine, Albuquerque, N. Mex. 87106

Ralph J. Kaplan

Department of Pediatrics and Neurosurgery, University of New Mexico School of Medicine, Albuquerque, N. Mex. 87106

Spinal epidural abscess represents a surgical emergency because it rapidly leads to complete paralysis below the lesion. Early surgical drainage is essential to complete recovery. A review of the 46 cases in children reported in the English literature indicates that the sequence of first symptoms (fever, localized back pain, and radicular pain) should afford early diagnosis in most cases. Staphylococci are the most frequent bacteriologic invaders.


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R. Rockney, R. Ryan, and N. Knuckey
Spinal Epidural Abscess: An Infectious Emergency Case Report and Review
Clinical Pediatrics, July 1, 1989; 28(7): 332 - 334.
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