{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T14:59:32Z","timestamp":1773673172374,"version":"3.50.1"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>The authors report the case of a 58-year-old man who presented with a cervicothoracolumbosacral spinal subdural abscess about a month after receiving an epidural steroid injection for management of low-back pain due to L5\u2013S1 disc herniation. Although he presented with symptoms concerning for a spinal etiology, the subdural empyema was not evident on the initial MRI study and was observed on imaging 5 days later. This patient was successfully managed with surgical intervention and antibiotic treatment, and he is doing well more than 21 months after the operation. It is possible that a prior history of disc herniation or other spinal abnormality may increase a patient's risk of developing spinal subdural empyema. This case illustrates the risk of infection following spinal epidural steroid injections and the importance of early recognition and intervention to successfully treat an extensive subdural abscess.<\/jats:p>","DOI":"10.3171\/2014.9.spine14159","type":"journal-article","created":{"date-parts":[[2014,10,24]],"date-time":"2014-10-24T14:12:13Z","timestamp":1414159933000},"page":"90-93","source":"Crossref","is-referenced-by-count":32,"title":["Spinal subdural abscess following epidural steroid injection"],"prefix":"10.3171","volume":"22","author":[{"given":"Matthew J.","family":"Kraeutler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph D.","family":"Bozzay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew P.","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuruvilla","family":"John","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine14159","series-title":"J Clin Neurosci","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1016\/j.jocn.2004.02.011","article-title":"Cervical subdural empyema following acupuncture","volume":"11","author":"Chen","year":"2004"},{"key":"b2-spine14159","series-title":"J Clin Neurosci","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1016\/j.jocn.2008.03.013","article-title":"Methicillin-resistant Staphylococcus aureus retropharyngeal abscess complicated by a cervical spinal subdural empyema","volume":"16","author":"Chern","year":"2009"},{"key":"b3-spine14159","series-title":"Int J Obstet Anesth","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.ijoa.2005.03.002","article-title":"A subdural abscess and infected blood patch complicating regional analgesia for labour","volume":"14","author":"Collis","year":"2005"},{"key":"b4-spine14159","series-title":"J Clin Neurosci","doi-asserted-by":"publisher","first-page":"1562","DOI":"10.1016\/j.jocn.2011.03.009","article-title":"Rapidly progressive lumbar subdural empyema following acromial bursal injection","volume":"18","author":"Coumans","year":"2011"},{"key":"b5-spine14159","series-title":"Handb Clin Neurol","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/S0072-9752(09)96007-9","article-title":"Spinal epidural abscess and subdural empyema","volume":"96","author":"Darouiche","year":"2010"},{"key":"b6-spine14159","series-title":"Medicine (Baltimore)","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1097\/00005792-199211000-00004","article-title":"Bacterial spinal epidural abscess. 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