A case of epidural abscess was reported in this paper. The patient was a male and 28 years old. He had developed parplegia suddenly with severe low back pain but no fever, and was admitted to our clinic five days after the onset of the symptoms. Radiological examination revealed no abnormal findings, while myelography showed complete block of the contrast medium at the level of T-6. This showed extra-dural tumorlike appearance. Decompressive laminectomy was performed twelve days after his admission making no definite diagnosis. It was proved to be epidural abscess with staphylococcus epidermidis. The patient still remains paraplegic with no remarkable improvement.
The early diagnosis and early decompressive laminectomy are important in this disease for a good prognosis. We should have been more careful for the diagnosis preoperatively.
