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Misdiagnosis of thoracic epidural abscess can result in paraplegia, wheelchair dependence, bowel and bladder incontinence, and loss of sexual function.
“Based on the results, investigators recommend an early MRI of the spine, laboratory workup, abscess culture followed by empiric antibiotics, and immediate surgical decompression when neurological deficits are present” … Michael Steinmetz, MD
Greg Vigna, MD, JD, national pharmaceutical injury attorney, “Misdiagnosis of thoracic epidural abscess can result in paraplegia, wheelchair dependence, bowel and bladder incontinence, and loss of sexual function. According to a study provided by the Department of Veterans Affairs, 55% of all spinal epidural abscesses were initially misdiagnosed and misdiagnosis was most often related to inadequate recognition of the ‘red flag’ signs and inadequate initial evaluation as performed by the treating physician.”
What are the ‘red flag’ signs of spinal epidural abscess?
“Immediate surgical decompression with empiric IV antibiotics is the best course in an overwhelming majority of cases even when there is subtle or slight neurological weakness present on presentation.” — Greg Vigna, MD, JD
What did the literature review by Dr. Steinmetz reveal about thoracic epidural abscesses?
Dr. Vigna states, “We are seeing a disturbing trend where surgical intervention is being delayed as physicians are considering conservative treatment with IV antibiotics. Immediate surgical decompression with empiric IV antibiotics is the best course in an overwhelming majority of cases even when there is subtle or slight neurological weakness present on presentation.”
Dr. Vigna is a California lawyer who focuses on catastrophic neurological injuries and has a national litigation practice. He is a Board Certified Physician in Physical Medicine and Rehabilitation, a Certified Life Care Planner, and an expert on spinal cord injury, cerebral palsy, cauda equina syndrome, stroke, and traumatic brain injury. Vigna Law Group has a non-exclusive association with Ben Martin Law Group, a Dallas Texas firm. Ben Martin is a national pharmaceutical attorney and personal injury attorney in Dallas, Texas.
To learn more about Spinal Epidural Abscesses and Spinal Cord Injury:
https://vignalawgroup.com/practice-areas/sci-spinal-cord-injury/
https://journals.sagepub.com/doi/pdf/10.1177/2192568218763324
Greg Vigna, MD, JD
Vigna Law Group
+1 800-761-9206
email us here
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Dr. Greg Vigna, is the principal of Greg Vigna, MD, JD, PLC, a California personal injury law firm, and his law firm has a non-exclusive referral relationship with the attorneys listed within this site. Dr. Vigna, co-counsels with attorneys across the country.