Epidural abscess

Discussion:

This case illustrates a number of important principles:

  • facet joint septic arthritis can lead to extensive epidural abscess
  • facet joints can communicate across the midline via the retrodural space of Okada 
  • if there is any suspicion that the very top/bottom of the collection has not been imaged, the entire spine should be imaged as epidural collections can be extensive and irregular in size
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