Tamori Yoshikazu, Takahashi Tetsuya, Suwa Hideyuki, Ohno Kyota, Nishimoto Yuki, Nakajima Shinsuke, Asada Masahiro, Kita Tetsuya, Tsutsumi Masaharu
Department of Internal Medicine, Chibune Hospital, Osaka, Japan.
Intern Med. 2010;49(14):1391-3. doi: 10.2169/internalmedicine.49.3419. Epub 2010 Jul 15.
An 80-year-old woman with type 2 diabetes was admitted due to right-handed muscle weakness. The patient presented with Brown-Sequard syndrome, with complete paralysis of the right lower limb along with a loss of pain and temperature sensations in the left lower limb. Magnetic resonance imaging revealed a cervical epidural abscess, and accompanying edema or inflammation of the right side of the spinal cord at the C5 level. She underwent drainage and evacuation of the spinal abscess, followed by intravenous antibiotic administration. These interventions ameliorated the neurological deficits. The present case suggests the importance of epidural abscess as a rare pathogenetic cause of Brown-Sequard syndrome in type 2 diabetes.
一名80岁的2型糖尿病女性因右手肌肉无力入院。患者表现为布朗-塞卡尔综合征，右下肢完全瘫痪，左下肢痛觉和温度觉丧失。磁共振成像显示颈椎硬膜外脓肿，以及C5水平脊髓右侧伴随的水肿或炎症。她接受了脊髓脓肿的引流和清除，随后静脉注射抗生素。这些干预措施改善了神经功能缺损。本病例提示硬膜外脓肿作为2型糖尿病患者布朗-塞卡尔综合征罕见致病原因的重要性。
