Abstract

LACERDA GALLARDO, Angel; HERNANDEZ GUERRA, Oilén  and  DIAZ AGRAMONTE, Julio. Abscesos espinales epidurales. Tratamiento combinado médico-quirúrgico: A propósito de 4 casos. Rev Cubana Cir [online]. 1998, vol.37, n.1, pp. 59-65. ISSN 1561-2945.

The spinal epidural abscesses (SEA) are rarely seen at the neurosurgical services of our environment. The morbidity due to neurological deficits may be elevated if the therapeutic measures are not taken fast. This affection must be studied whenever the patient presents pain in the dorsolumbar region, neurological deficit and fever. 4 patients with non tuberculous spinal epidural abscesses and with no previous surgical procedures are presented. 2 had them at the lumbar level and 2 with inclusion of the dorsolumbar region. 3 of them had a bad postoperative recovery (1 died), and the other one recovered completely, which shows the necessity of following an energetic conduct since the diagnosis in suspected. The authors consider that the combination of a dynamic medical and surgical treatment since the diagnosis is confirmed, independently of the severity of the clinical picture, is the only way to guarantee and adequate recovery

Keywords : SPINAL DISEASES [surgery]; SPINAL DISEASES [drugs therapy]; ABSCESS [surgery]; ABSCESS [drugs therapy]; ANTIBIOTICS [therapeutics use].