Epidural abscess (intracranial)

Background

  • Much less common than spinal epidural abscess (1:9)
  • 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

Clinical Features

  • Symptoms of intracranial mass
    • papilledema
    • focal neurologic symptoms
    • Headache
    • Vomiting/nausea

Differential Diagnosis

Intracranial Mass

Evaluation

  • Suspect diagnosis based on clinical history and physical exam
  • Imaging modality of choice is MRI
  • CT with IV contrast is reasonable alternative

Management

Disposition

  • Admit

See Also

References