Spinal Epidural Abscess Follow-up

Updated: Aug 22, 2017
  • Author: J Stephen Huff, MD, FACEP; Chief Editor: Niranjan N Singh, MD, DM  more...
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Follow-up

Further Outpatient Care

See the list below:

  • Rehabilitation for any residual neurologic deficit may be necessary. This would include restrengthening programs and ambulation retraining.
  • Home health care may help provide ongoing antibiotic and physical therapy.
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Further Inpatient Care

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  • Frequent neurologic assessment to detect any progression of neurologic deficit, particularly weakness, is required.
  • Postsurgical patients require monitoring of neurologic status as well.
  • If the patient has a deficit from spinal cord damage, nursing attention for skin care, catheter care, and physical therapy may be necessary.
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Transfer

Transfer to a facility with spinal cord imaging and appropriate surgical resources may be necessary.

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Complications

The many complications of spinal cord injury include bladder dysfunction, decubiti, supine hypertension, recurrent sepsis, and other problems.

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Prognosis

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  • No studies have been done to assist in predicting prognosis.
  • Prognosis in general is related to the duration of spinal cord dysfunction and the degree of cord impairment at the time of diagnosis.
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Patient Education

For patient education resources, see the Infections Center and Brain and Nervous System Center, as well as Brain Infection and Antibiotics.

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