Final answer:
Clues to a spinal epidural abscess include neurological symptoms like neck stiffness and hemiparesis. A lumbar puncture confirms diagnoses by revealing bacteria or abnormal CSF indicators. Treatment involves antibiotics and potentially surgery.
Step-by-step explanation:
Clues to a Spinal Epidural Abscess
An epidural abscess is a collection of pus between the dura mater and the spinal cord. It is a serious condition that can lead to complications if not treated promptly. Clues to diagnosing a spinal epidural abscess include neurological symptoms such as stiffness in the neck, hemiparesis (weakness on one side of the body), and possibly other signs of infection like fever and malaise.
To confirm the suspicion of a spinal epidural abscess, physicians commonly perform a diagnostic procedure known as a lumbar puncture or spinal tap. This procedure involves the insertion of a needle into the lower part of the spinal canal to collect cerebrospinal fluid (CSF). The presence of bacteria or an abnormally high white blood cell count in the CSF can indicate an infection, such as meningitis or an abscess. Other indications from a lumbar puncture can include low glucose levels and elevated protein levels in the CSF, which are suggestive of bacterial meningitis.
Further tests such as blood cultures, complete blood counts, and imaging may also be conducted to assess the extent of the infection and to assist in determining the proper treatment. Treatment often includes antibiotics and sometimes surgery to drain the abscess.