An official website of the United States government
The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before
sharing sensitive information, make sure you’re on a federal
government site.
The site is secure.
The https:// ensures that you are connecting to the
official website and that any information you provide is encrypted
and transmitted securely.
A spinal epidural abscess (SEA) is a suppurative central nervous system infection involving the space between the spinal dura mater and the vertebral periosteum. Giovanni Morgagni first described SEA in 1761. Although classically, patients with spinal epidural abscesses present with midline back pain, fever, and neurologic deficits, other presentations of this disease process can be highly variable. A spinal epidural abscess is challenging to diagnose without a strong index of clinical suspicion. If untreated, spinal epidural abscesses can lead to severe neurological morbidity and even mortality. As a result, any suspicion of this condition warrants immediate evaluation and timely intervention. Diagnosing and managing spinal epidural abscesses are greatly aided by modern radiological techniques, including computerized tomography and magnetic resonance imaging (MRI).
Arko L, Quach E, Nguyen V, Chang D, Sukul V, Kim BS. Medical and surgical management of spinal epidural abscess: a systematic review. Neurosurg Focus. 2014 Aug;37(2):E4.
-
PubMed
Sharfman ZT, Gelfand Y, Shah P, Holtzman AJ, Mendelis JR, Kinon MD, Krystal JD, Brook A, Yassari R, Kramer DC. Spinal Epidural Abscess: A Review of Presentation, Management, and Medicolegal Implications. Asian Spine J. 2020 Oct;14(5):742-759.
-
PMC
-
PubMed
Prabahkar D, Qazi I, Devi S, Eldahtoury S, Janjua AW. Spinal Epidural Abscess: Raising the Index of Suspicion. Cureus. 2025 Jun;17(6):e85465.
-
PMC
-
PubMed
Babu JM, Patel SA, Palumbo MA, Daniels AH. Spinal Emergencies in Primary Care Practice. Am J Med. 2019 Mar;132(3):300-306.
-
PubMed
Boody BS, Tarazona DA, Vaccaro AR. Evaluation and Management of Pyogenic and Tubercular Spine Infections. Curr Rev Musculoskelet Med. 2018 Dec;11(4):643-652.
-
PMC
-
PubMed