Spinal Epidural Abscess

Spinal epidural abscess is a purulent infection within the epidural space, leading to cord compression and neurological deficits. Etiologies include hematogenous spread, spinal procedures, or contiguous infection. Pathophysiology involves local inflammation, abscess formation, and ischemic injury to neural structures. Diagnosis relies on MRI, laboratory markers of infection, and clinical assessment. Management includes intravenous antibiotics and surgical decompression when indicated; prognosis depends on rapid diagnosis and intervention.