Risk Factors
There are certain risk factors associated with epidural hematoma, aside from tumors. One such risk factor is age, with children younger than two and adults older than 70 being at an increased risk. The vulnerability in these age groups is primarily due to the dura mater not being fully connected in children under two, and brain atrophy causing loosening of the connection in older adults. Studies have shown that the most risky periods for developing spinal epidural hematomas are during the insertion and removal of epidural catheters and spinal drains.
Epidural Abscess
An epidural abscess can occur when a spinal epidural hematoma becomes infected. A notable case study involved a 65-year-old man with diabetes who presented with back pain and leg weakness caused by an epidural mass on specific vertebrae. Unfortunately, the clot developed an invasive pneumococcal infection, ultimately leading to the formation of an abscess. It is important for medical professionals to be aware of the potential risk of bacterial infections, particularly in individuals with chronic illnesses, as blood is a nutrient-rich environment.