A case of a 50-year-old man with a lumbar spinal epidural abscess is reported. MRI, myelography, and computed tomography myelography were useful in the diagnosis. Antimicrobial therapy was given and decompressive laminectomy of L1 to L4 performed with as much as possible of the pus and granulation tissue removed during the operation. Satisfactory neurological results were achieved. Spinal epidural abscess is an uncommon disease and the importance of a rapid diagnostic procedure and rapid surgical intervention is emphasized.
