Dei-Anang K, Hase U, Schürmann K
Neurosurgical Department, Johannes Gutenberg University, Mainz, West Germany.
Neurosurg Rev. 1990;13(4):285-8. doi: 10.1007/BF00346366.
Fifteen cases of peridural empyemas are reported. 12 patients reported with motor dysfunction of the lower extremities and pain radiating from the spine. In one case, localized pain of the spine was discovered and in two cases there were no signs of spinal or radiating pain. Treatment in all cases was laminectomy and systemic antibiotic administration. Microbiological analysis showed staphylococcus aureus in 11 cases. 9 patients recovered with no neurological defects, two had major improvement of the paresis, and one died. Three patients with paraplegia recovered from the primary infection.
报告了15例硬脊膜外脓肿病例。12例患者报告有下肢运动功能障碍及脊柱放射性疼痛。1例发现脊柱局部疼痛,2例无脊柱疼痛或放射性疼痛迹象。所有病例均采用椎板切除术及全身抗生素治疗。微生物分析显示11例为金黄色葡萄球菌感染。9例患者康复且无神经功能缺损,2例轻瘫有显著改善,1例死亡。3例截瘫患者从原发感染中康复。