• M McGee-Collett and I H Johnston.
• Department of Neurosurgery, Royal Prince Alfred Hospital, Camperdown, NSW.
• Med. J. Aust. 1991 Jul 1; 155 (1): 14-7.

ObjectiveTo examine the presentation, investigative findings, treatment and outcome in patients with spinal epidural abscess.Design And SettingThe study was a retrospective analysis of all patients with this condition presenting to the Neurosurgical Units at the Royal Prince Alfred Hospital and Westmead Hospital, Sydney, during the period September 1984 to September 1987.PatientsThere was a total of 21 patients with an age range from 7-87 years (mean 47 years). Eleven cases were acute and ten chronic. The causative organism was Staphylococcus aureus in 15 of the 21 cases, the other organisms involved were Mycobacterium tuberculosis, Escherichia coli, Streptococcus and Pseudomonas aeruginosa.InterventionsAll patients were treated with a combination of surgery (decompression with or without fusion) and prolonged antibiotic administration.ResultsOf the 21 patients 11 had a good to excellent outcome while 10 had a poor outcome.ConclusionThe main determinant of outcome was the neurological state at presentation emphasising the importance of early diagnosis and prompt treatment.

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