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An extensive spinal epidural abscess successfully treated conservatively
  1. J Van Bergen1,
  2. M Plazier2,
  3. J Baets3,
  4. P Jan Simons4
  1. 1
    University of Antwerp, Wilrijk, Belgium
  2. 2
    University of Antwerp, Department of Neurosurgery, Antwerp University Hospital, Edegem, Belgium
  3. 3
    University of Antwerp, Department of Neurology, Antwerp University Hospital, Edegem, Belgium
  4. 4
    St Vincentius Hospital, Department of Neurology, Antwerp, Belgium
  1. Dr M Plazier, University Hospital Antwerp, Department of Neurosurgery, Wilrijkstraat 10, 2650 Edegem, Belgium; mark.plazier{at}


A spinal epidural abscess (SEA) is an uncommon condition, appearing in 0.2–2 cases per 10 000 hospital admissions. Urgent surgical decompression in combination with long term antibiotics is the common treatment of choice for SEA. However, in some cases, a non-surgical treatment can also be considered. In this case report, a patient is presented with SEA extending from C2 to L3 which was successfully treated with antibiotic therapy without surgical intervention.

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  • Competing interests: None.

  • Patient consent: Obtained.