Epidural abscess (intracranial) - Revision history

ClaireLewis at 00:31, 2 October 2019

2019-10-02T00:31:03Z

← Older revision		Revision as of 00:31, 2 October 2019
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	==Background==		==Background==
	*Much less common than [[spinal epidural abscess]] (1:9)		*Much less common than [[spinal epidural abscess]] (1:9)
	*Usually caused by local spread of infection or inoculation during surgery or trauma		*Usually caused by local spread of infection or inoculation during surgery or [[head trauma\|trauma]]
	*Usually isolated to calvarium due to adherence of dura to foramen magnum		*Usually isolated to calvarium due to adherence of dura to foramen magnum

	==Clinical Features==		==Clinical Features==
	*Symptoms of intracranial mass		*Symptoms of [[intracranial mass]]
	**papilledema		**[[papilledema]]
	**focal neurologic symptoms		**[[focal neuro deficits\|focal neurologic symptoms]]
	**~~Headache~~		**[[headache]]
	**~~Vomiting~~/~~nausea~~		**[[nausea/vomiting]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
	*Suspect diagnosis based on clinical history and physical exam		*Suspect diagnosis based on clinical history and physical exam
	*Imaging modality of choice is MRI		*Imaging modality of choice is [[brain MRI\|MRI]]
	*CT with IV contrast is reasonable alternative		*[[head CT\|CT]] with IV contrast is reasonable alternative

	==Management==		==Management==
	*Surgical ~~decompresion~~		*Surgical decompression
	*Antibiotics		*Antibiotics
	**[[Vancomycin]] + [[metronidazole]] + ([[cefotaxime]] '''or''' [[ceftriaxone]] '''or''' [[ceftazidime]])		**[[Vancomycin]] + [[metronidazole]] + ([[cefotaxime]] '''or''' [[ceftriaxone]] '''or''' [[ceftazidime]])
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	==See Also==		==See Also==
	*[[Epidural abscess (spinal)]]		*[[Epidural abscess (spinal)]]
			*[[Brain abscess]]

	==References==		==References==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-21T20:06:28Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 20:06, 21 July 2016
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	{{Intracranial mass DDX}}		{{Intracranial mass DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Suspect diagnosis based on clinical history and physical exam		*Suspect diagnosis based on clinical history and physical exam
	*Imaging modality of choice is MRI		*Imaging modality of choice is MRI

Neil.m.young: Text replacement - " w/ " to " with "

2016-07-13T09:10:23Z

Text replacement - " w/ " to " with "

← Older revision		Revision as of 09:10, 13 July 2016
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	*Suspect diagnosis based on clinical history and physical exam		*Suspect diagnosis based on clinical history and physical exam
	*Imaging modality of choice is MRI		*Imaging modality of choice is MRI
	*CT w/ IV contrast is reasonable alternative		*CT with IV contrast is reasonable alternative

	==Management==		==Management==

Ostermayer: Text replacement - "Category:Neuro" to "Category:Neurology"

2016-03-22T14:14:12Z

Text replacement - "Category:Neuro" to "Category:Neurology"

← Older revision		Revision as of 14:14, 22 March 2016
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	<References/>		<References/>

	[[Category:~~Neuro~~]]		[[Category:Neurology]]
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* Background */

2015-08-19T07:48:36Z

Background

← Older revision		Revision as of 07:48, 19 August 2015
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	==Background==		==Background==
	*Much less common than spinal epidural abscess (1:9)		*Much less common than [[spinal epidural abscess]] (1:9)
	*Usually caused by local spread of infection or inoculation during surgery or trauma		*Usually caused by local spread of infection or inoculation during surgery or trauma
	*Usually isolated to calvarium due to adherence of dura to foramen magnum		*Usually isolated to calvarium due to adherence of dura to foramen magnum

Mholtz at 06:25, 19 August 2015

2015-08-19T06:25:18Z

← Older revision		Revision as of 06:25, 19 August 2015
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	== Background ==		==Background==
	*Much less common than spinal epidural abscess (1:9)		*Much less common than spinal epidural abscess (1:9)
	*Usually caused by local spread of infection or ~~local~~ inoculation during surgery or trauma		*Usually caused by local spread of infection or inoculation during surgery or trauma
	*Usually isolated to calvarium due to adherence of dura to foramen magnum		*Usually isolated to calvarium due to adherence of dura to foramen magnum

	== Clinical Features ==		==Clinical Features==
	*Symptoms of intracranial mass		*Symptoms of intracranial mass
	**papilledema		**papilledema
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	**Vomiting/nausea		**Vomiting/nausea

	== Diagnosis ==		==Differential Diagnosis==
			{{Intracranial mass DDX}}

			==Diagnosis==
	*Suspect diagnosis based on clinical history and physical exam		*Suspect diagnosis based on clinical history and physical exam
	*Imaging modality of choice is MRI		*Imaging modality of choice is MRI
	*CT w/ IV contrast is reasonable alternative		*CT w/ IV contrast is reasonable alternative

	==~~Differential Diagnosis==~~		==Management==
	~~{{Intracranial mass DDX}}~~

	~~== Treatment~~ ==
	*Surgical decompresion		*Surgical decompresion
	*Antibiotics		*Antibiotics
	**[[~~Vanco~~]] + [[metronidazole]] + ([[cefotaxime]] or [[ceftriaxone]] or [[ceftazidime]])		**[[Vancomycin]] + [[metronidazole]] + ([[cefotaxime]] '''or''' [[ceftriaxone]] '''or''' [[ceftazidime]])
	***[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely		***[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely
	***Can substitute [[nafcillin]] or [[oxacillin]] for [[~~vanco~~]] if not [[MRSA]]		***Can substitute [[nafcillin]] or [[oxacillin]] for [[Vancomycin]] if not [[MRSA]]
	**Treat for 6-8 weeks		**Treat for 6-8 weeks
	**If likely nasopharyngeal source ([[sinusitis]], [[mastoiditis]]), may consider regiment covering [[strep]], [[Haemophilus influenzae]], and [[aerobes]]		**If likely nasopharyngeal source ([[sinusitis]], [[mastoiditis]]), may consider regiment covering [[strep]], [[Haemophilus influenzae]], and [[aerobes]]

			==Disposition==
			*Admit

	==See Also==		==See Also==
	[[Epidural ~~Abscess~~ (~~Spinal~~)]]		*[[Epidural abscess (spinal)]]

	== ~~Sources~~ ==		==References==
	~~Uptodate~~		<References/>

	[[Category:Neuro]]		[[Category:Neuro]]
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* Differential Diagnosis */

2015-02-09T18:11:48Z

Differential Diagnosis

← Older revision		Revision as of 18:11, 9 February 2015
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	==Differential Diagnosis==		==Differential Diagnosis==
	*Any intracranial mass		{{Intracranial mass DDX}}
	**[[ICH]]
	**Tumor
	**[[Brain abscess]]
	**[[Subdural empyema]]

	== Treatment ==		== Treatment ==

Rossdonaldson1: /* Treatment */

2015-02-09T18:08:31Z

Treatment

← Older revision		Revision as of 18:08, 9 February 2015
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	*Surgical decompresion		*Surgical decompresion
	*Antibiotics		*Antibiotics
	**Vanco + metronidazole + ~~either~~ cefotaxime or ceftriaxone or ~~ceftazadine~~		**[[Vanco]] + [[metronidazole]] + ([[cefotaxime]] or [[ceftriaxone]] or [[ceftazidime]])
	***~~Ceftazidine~~ is preferred if pseudomonas is considered likely		***[[Ceftazidime]] is preferred if [[pseudomonas]] is considered likely
	***Can substitute nafcillin or oxacillin for vanco if not MRSA		***Can substitute [[nafcillin]] or [[oxacillin]] for [[vanco]] if not [[MRSA]]
	**Treat for 6-8 weeks		**Treat for 6-8 weeks
	**If likely nasopharyngeal source (sinusitis, mastoiditis), may consider regiment covering strep, ~~hemophilus~~, and aerobes		**If likely nasopharyngeal source ([[sinusitis]], [[mastoiditis]]), may consider regiment covering [[strep]], [[Haemophilus influenzae]], and [[aerobes]]

	==See Also==		==See Also==

Rossdonaldson1: /* DDX */

2015-02-09T18:04:03Z

DDX

← Older revision		Revision as of 18:04, 9 February 2015
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	*CT w/ IV contrast is reasonable alternative		*CT w/ IV contrast is reasonable alternative

	== ~~DDX~~ ==		==Differential Diagnosis==
	*Any intracranial mass		*Any intracranial mass
	**ICH		**[[ICH]]
	**Tumor		**Tumor
	**Brain abscess		**[[Brain abscess]]
	**Subdural empyema		**[[Subdural empyema]]

	== Treatment ==		== Treatment ==

Rossdonaldson1: Rossdonaldson1 moved page Epidural Abscess (Intracranial) to Epidural abscess (intracranial)

2015-02-09T18:02:02Z

Rossdonaldson1 moved page Epidural Abscess (Intracranial) to Epidural abscess (intracranial)

← Older revision	Revision as of 18:02, 9 February 2015
(No difference)