Sorar Mehmet, Er Uygur, Seçkin Hakan, Ozturk M Halil, Bavbek Murad
Ministry of Health, Dişkapi Education and Research Hospital, IInd Neurosurgery Clinic, Söğütözü Caddesi, 4. Sokak, No: 22-7, 06510, Ankara, Turkey.
J Clin Neurosci. 2008 Mar;15(3):292-4. doi: 10.1016/j.jocn.2006.01.027. Epub 2007 Apr 12.
Spinal subdural abscess (SSA) is a rare but well-described entity. It may occur secondary to a systemic infectious focus or following a surgical procedure. There are only two SSA cases in the literature that are unrelated to such conditions and without any well-documented etiology. SSA is a neurosurgical emergency and diagnosis may be difficult. Progressive neurological deficits and severe pain with fever suggest the diagnosis. Surgical drainage and subsequent prompt antimicrobial therapy should be performed without delay. We report a patient with SSA unrelated to any predisposing condition and discuss underlying mechanisms of this disease.
脊髓硬膜下脓肿（SSA）是一种罕见但已被充分描述的病症。它可能继发于全身性感染病灶或手术后。文献中仅有两例SSA病例与这些情况无关且没有任何充分记录的病因。SSA是一种神经外科急症，诊断可能困难。进行性神经功能缺损和伴有发热的严重疼痛提示诊断。应立即进行手术引流并随后迅速进行抗菌治疗。我们报告一例与任何易感因素无关的SSA患者，并讨论该疾病的潜在机制。
