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Cervical Epidural Abscess: A Case Report

頸椎硬腦膜外腔膿瘍:病例報告

摘要


脊椎硬腦膜外腔膿瘍為一罕見且具有高致死率之疾病,術前病患神經功能分期為神經預後之最重要指標。一位30歲海洛因成癮患者因發燒、頸部疼痛合併右側肢體無力及感覺異常至急診就醫,經核磁共振診斷為頸椎前側硬腦膜外腔膿瘍。病患接受椎間盤及部分椎體摘除合併自體骨移植及頸椎融合手術治療後,感染獲得控制。及早手術合併適宜之抗生素治療脊椎硬腦膜外腔膿瘍能獲得較好之預後。我們報告此一少見之臨床病例強調早期診斷及手術治療之重要性。

並列摘要


Spinal epidural abscess is a rare condition associated with high rates of morbidity and mortality. The preoperative neurologic stage is the most important predictor of the final neurologic outcome. We report a case involving a 30-year-old man with history of drug abuse, who presented with neck pain, motor weakness with sensory deficit, and fever. A ventral cervical epidural abscess was diagnosed via magnetic resonance imaging. The infection was controlled after the patient received male urgent surgical treatment, which included anterior cervical discectomy, partial corpectomy, and placement of an anterior cervical plate with tricortical allograft spinal fusion, followed by appropriate systemic antibiotic treatment. The outcomes for patients undergoing spinal epidural abscess improve when the patient receives early intervention and adequate treatment with antibiotics. The purpose of this case report is to direct the attention of medical staff to the importance of establishing early diagnosis and treatment in such cases.

並列關鍵字

epidural abscess drug abuse

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