Abstract
Acute spinal epidural abscess is described in two patients. In the patient in whom the abscess was recognized early and decompression effected a complete recovery of cord function occurred, whereas in the second case, where recognition and treatment were delayed, permanent damage was the end-result. Severe back pain with evidence of infection must be checked frequently for neurological evidence of deterioration. 1. Two cases of acute spinal epidural abscess are reported. 2. Complete recovery followed early drainage in one case. 3. Late diagnosis in the second case was attended by a poor result. 4. The development of severe pain in the back with signs of infection may merge almost imperceptibly with the onset of neurological signs and symptoms.