显微椎间盘切除术后无菌性脑膜炎：一例病例报告及文献复习
Aseptic meningitis after microdiscectomy: description of a case and review of the literature.
作者信息
Todd Andrew G, Cammisa Frank P, Sama Andrew, Girardi Federico P
机构信息
Department of Orthopedic Surgery, Division of Spine Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
出版信息
Spine J. 2008 Jul-Aug;8(4):700-2. doi: 10.1016/j.spinee.2007.06.002. Epub 2007 Jul 23.
BACKGROUND CONTEXT
Aseptic meningitis has rarely been described after spinal surgery. No reports of aseptic meningitis exist after microdiscectomy in the literature.
PURPOSE
To report on a case of aseptic meningitis in a patient after undergoing laminotomy and microdiscectomy at L4-L5.
STUDY DESIGN/SETTING: Case report.
METHODS
A case of aseptic meningitis is reported after microdiscectomy at L4-L5 in a 31-year-old man. In this case, a patient underwent L4-L5 laminotomy and microdiscectomy for weakness and pain. He subsequently presented 3 days after with neck pain, photophobia, and fever.
RESULTS
Cerebrospinal fluid (CSF) examination subsequently revealed a pattern for aseptic meningitis.
CONCLUSIONS
Presentation of aseptic meningitis after microdiscectomy is a rare but important diagnosis to consider. Examination of CSF is an important procedure to rule out the more dangerous diagnosis of bacterial meningitis.
背景
无菌性脑膜炎在脊柱手术后鲜有报道。文献中尚无关于显微椎间盘切除术后发生无菌性脑膜炎的报告。
目的
报告1例L4 - L5椎板切开术和显微椎间盘切除术后发生无菌性脑膜炎的病例。
研究设计/地点：病例报告。
方法
报告1例31岁男性在L4 - L5行显微椎间盘切除术后发生无菌性脑膜炎的病例。该患者因肌无力和疼痛接受了L4 - L5椎板切开术和显微椎间盘切除术。术后3天，他出现颈部疼痛、畏光和发热。
结果
脑脊液（CSF）检查随后显示为无菌性脑膜炎的表现。
结论
显微椎间盘切除术后出现无菌性脑膜炎是一种罕见但需要考虑的重要诊断。脑脊液检查是排除细菌性脑膜炎这一更危险诊断的重要检查。
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