一名3岁儿童的脊髓内脓肿被忽视：病例报告。
Neglected intramedullary cord abscess in a 3-year old child: a case report.
作者信息
Kamgarpour Ahmad, Izadfar Mohammad-Ali, Razmkon Ali
机构信息
Department of Neurosurgery, Shiraz University of Medical Sciences, P.O. Box 71455-166, Shiraz, Iran.
出版信息
Childs Nerv Syst. 2008 Jan;24(1):153-5. doi: 10.1007/s00381-007-0421-7. Epub 2007 Jul 21.
BACKGROUND
Intramedullary spinal cord abscesses are rare and can be potential harmful lesions that cause a variety of neurologic problems. It is a treatable cause of paraparesis; however, diagnosis is not often straightforward due to the indolent course and rarity of the disease.
CASE REPORT
We report a case of a 32-month-old boy referred to our institution with a neglected intramedullary cord abscess after 6 months.
CONCLUSION
Strong clinical suspicion, in addition to prompt surgical drainage with proper antibiotic therapy, seems crucial in prevention of permanent neurological disability.
背景
脊髓髓内脓肿罕见，可能是导致各种神经问题的潜在有害病变。它是截瘫的可治疗病因；然而，由于病程隐匿且该病罕见，诊断往往并不简单。
病例报告
我们报告一例32个月大男孩的病例，该患儿在6个月后因被忽视的脊髓髓内脓肿转诊至我院。
结论
除了及时进行手术引流并给予适当的抗生素治疗外，强烈的临床怀疑对于预防永久性神经功能残疾似乎至关重要。
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