Kohshi Kiyotaka, Abe Haruhiko, Mizoguchi Yoshito, Shimokobe Masayuki
Department of Neurosurgery and Division of Hyperbaric Medicine, University Hospital of Occupational and Environmental Health, Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan.
Mt Sinai J Med. 2005 Nov;72(6):381-4.
A 49-year-old man underwent hyperbaric oxygen (HBO) therapy for the treatment of primary spinal epidural abscess. Although the epidural abscess was initially treated with antibiotic (cefozopran) for 5 days, he subsequently developed motor weakness, paresthesia and urinary retention. MRI demonstrated spinal cord compression at the C1-C4 level. HBO therapy was added to the antibiotic regimen, and three days later we found clinical evidence of a response to treatment. Neurological symptoms were relieved 13 days after HBO therapy. This case suggests that HBO therapy is an effective therapeutic adjunct for the treatment of spinal epidural abscess.
一名49岁男性因原发性脊髓硬膜外脓肿接受了高压氧（HBO）治疗。尽管最初使用抗生素（头孢唑兰）治疗硬膜外脓肿5天，但他随后出现了运动无力、感觉异常和尿潴留。MRI显示C1 - C4水平脊髓受压。在抗生素治疗方案中加入了HBO治疗，三天后我们发现了治疗有效的临床证据。HBO治疗13天后神经症状得到缓解。该病例表明，HBO治疗是治疗脊髓硬膜外脓肿的一种有效辅助治疗方法。
