頁籤選單縮合
題名 | Intra-Medullary Abscess of the Spinal Cord at the High Cervical Level= |
---|---|
作者 | Liu, Hang-wei; Tsai, Ming-cheng; |
期刊 | Formosan Journal of Surgery |
出版日期 | 20121200 |
卷期 | 45:6 2012.12[民101.12] |
頁次 | 頁194-197 |
分類號 | 416.292 |
語文 | eng |
關鍵詞 | Cervical myelopathy; Intramedullary abscess; Spinal cord; |
英文摘要 | Intramedullary spinal cord abscess (ISCA) is a rare entity in the central nervous system, especially in patients without meningitis. It is often difficult to promptly establish the diagnosis. In this report, we describe the case of a woman 52 years of age who presented with progressive neck pain that was followed by rapidly worsening quadriparesis. The cervical spine magnetic resonance imaging revealed an ovoid lesion at the level of C2-C4 with a gadolinium contrast ring enhancement. Because ISCA was suspected, we performed surgery to decompress the cervical spinal cord. The bacterial culture of the cystic content revealed the growth of two bacteria, Fusobacterium nucleatum and Peptoniphilus asaccharolyticus, which have rarely been observed. The patient's postoperative course was uneventful and her outcome was excellent on discharge. Antibiotics were prescribed for 6 weeks. We further report the result of a literature review on the management of ISCA. The surgical indications for ISCA are controversial, but early surgery to decompress the spinal cord and confirm bacterial growth is recommended in rapidly worsening cases. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。