Spinal Subdural Abscess

Spinal subdural abscess is a collection of pus in the spinal subdural space, rare compared with epidural abscess, usually from hematogenous spread or surgery. Clinical: severe back pain, radicular pain, fever, and rapidly progressive myelopathy (weakness, sensory level, bladder/bowel dysfunction). Diagnosis: MRI. Treatment: urgent surgical drainage plus IV antibiotics to prevent permanent paralysis.

Common Symptoms

Severe back pain; radicular pain; fever; progressive myelopathy/weakness; bladder/bowel dysfunction

Causes and Pathogenesis

Hematogenous or postoperative infection forms a subdural pus collection that compresses the spinal cord/roots.

Treatment

Urgent surgical drainage; IV antibiotics; neurorehab; manage bladder function

Preventive Measures

Prompt treatment of bacteremia; sterile spinal procedures.

Department to Visit

It is recommended to visit the Neurosurgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.