Cervical Spinal Epidural Abscess: A Case Report

頸脊髓硬膜外膿腫：病例報告

楊自強(Chi-Chiang Yang) ； 周啟文(Chii-Wen Chou)

《童綜合醫學雜誌》 13卷1期 (2019/06) Pp. 48-50

https://doi.org/10.3966/207135922019061301010

摘要

A cervical spinal epidural abscess (CSEA) in the neck is often life-threatening. However, this disease is difficult to diagnose in the early stage. Patients with symptoms of a CSEA, such as fever, back/neck pain, and neurological deficits, need to be further assessed using magnetic resonance imaging (MRI) to confirm the diagnosis. Currently, a CSEA is widely treated with surgical decompression, followed by antibiotic treatment. Here, we report a case of a CSEA associated with neurological issues, which was successfully treated with surgery and showed neurological function recovery in approximately two weeks after surgery.

關鍵字

Cervical epidural abscess ； Neurologic deficits

並列摘要

頸脊髓硬膜外膿腫常常會危及生命。然而，欲在早期診斷這種疾病並不容易。因為頸脊髓硬膜外膿腫的症狀包括如發燒，背部／頸部疼痛以及神經缺陷等等，容易和其他疾病混淆，所以確切診斷還需以磁振造影影像的檢查來確定。目前，頸脊髓硬膜外膿腫的治療主要是靠手術減壓再加上抗生素治療。我們在這裡報告了一個頸脊硬膜外膿腫的病例，病患經手術成功的治療並在兩週後恢復神經功能。

並列關鍵字

頸脊髓硬膜外膿腫 ； 神經缺陷