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Spinal Epidural Abscess:The Importance of Early Diagnosis and Treatment JNNP 65:209-212, Mackenzie,A.R.,et al, 1998 See this aricle in Pubmed Article Abstract Imaging with MRI or CT enables early diagnosis of spinal epidural access and optimal therapy is surgical evacuation combined with 6-12 weeks(median 8 weeks)of antimicrobial chemotherapy.Clinical features are fever,pain,and focal neurological signs and may be associated with preceding and pre- existing bone or joint disease.The commonest aetiological organism is S aureus.Early diagnosis and appropriate early antimicrobial chemotherapy with surgery is associated with an excellent prognosis.

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