Tovar-Spinoza Zulma, Bode Michelle
Department of Neurosurgery, SUNY Upstate Medical University, 604 Jacobsen Hall, 750 East Adams Street, Syracuse, New York 13210, USA.
J Neurosurg Pediatr. 2011 Feb;7(2):205-8. doi: 10.3171/2010.11.PEDS10159.
Spinal epidural abscess constitutes a neurosurgical emergency in which early diagnosis and prompt decompression are necessary to avoid permanent cord damage. This entity is rare in premature infants and neonates in whom diagnosis can be challenging. The authors present a case of a premature twin neonate who developed an epidural abscess with complete paraparesis after coagulase-negative Staphylococcus epidermidis bacteremia that was treated with a single-level flavotomy and catheter irrigation.
脊髓硬膜外脓肿是一种神经外科急症,早期诊断和及时减压对于避免永久性脊髓损伤至关重要。这种情况在早产儿和新生儿中很少见,其诊断具有挑战性。作者报告了一例早产双胎新生儿病例,该患儿在凝固酶阴性表皮葡萄球菌菌血症后发生硬膜外脓肿并伴有完全性截瘫,通过单节段椎板切开术和导管冲洗进行了治疗。