Delayed Epidural Abscess Diagnosis Following Percutaneous Discectomy
A 34-year-old female who is POD3 from a discectomy presented to an outpatient pain clinic with significant neck pain, and was treated with trigger point injections for a trapezius spasm. On POD10, she presented to the ER with persistent neck pain, progressive quadriparesis, saddle anesthesia, and urinary retention. MRI revealed an epidural abscess and she was taken emergently to the OR for abscess evacuation. This case will review the pathophysiology and management of an epidural abscess.
Toma B, Lepczyk L, Soto R. Delayed epidural abscess diagnosis following the percutaneous discectomy. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.