Spinal epidural abscess is relatively infrequent diagnosis with life-threatening potential. Early diagnosis is imperative as neurological deficits negatively impact a patient’s prognosis. This process results from purulent material accumulating between the thecal sac and the osseous-ligamentous structures of the spine. Developments in imaging techniques have permitted earlier diagnosis of this condition. Emergent surgical decompression with intravenous antibiotics remains the cornerstone of treatment.