Kulkarni Arvind G, Chu Gordon, Fehlings Michael G
Department of Neurosurgery, Toronto Western Hospital, Toronto, Ontario, Canada.
Spine (Phila Pa 1976). 2007 May 20;32(12):E354-7. doi: 10.1097/BRS.0b013e31805c0ab7.
A case report of pyogenic intradural abscess is described.
The rarity of the presentation and its successful management are discussed.
Intradural abscesses are exceptionally rare.
The abscess was drained by performing a posterior midline lumbar durotomy, and intravenous antibiotics were initiated.
At the 1 year follow-up, the patient has made significant neurologic recovery.
Intradural pyogenic abscess secondary to chronic pyogenic spondylodiscitis is a rare manifestation. MRI is a vital component in diagnosis, which revealed key pathologic features within the dural sac as well as in the vertebral column. An emergency decompression and appropriate antibiotic regimen is the solution for a favorable outcome.
描述了一例化脓性硬脊膜内脓肿的病例报告。
讨论该病例表现的罕见性及其成功的治疗方法。
硬脊膜内脓肿极为罕见。
通过后路中线腰椎硬脊膜切开术引流脓肿，并开始静脉使用抗生素。
在1年的随访中，患者神经功能有显著恢复。
慢性化脓性脊椎间盘炎继发的硬脊膜内化脓性脓肿是一种罕见的表现。MRI是诊断的重要组成部分，它揭示了硬脊膜囊内以及脊柱的关键病理特征。紧急减压和适当的抗生素治疗方案是取得良好预后的解决办法。
