Department of Neurosurgery, Mohammed V Military Teaching Hospital, Rabat, Morocco.
Surg Infect (Larchmt). 2011 Aug;12(4):333-4. doi: 10.1089/sur.2010.064.
Spinal cord abscesses are rare. Acute lesions may present as spinal cord syndrome with back pain and fever, whereas chronic abscesses tend to have a less specific symptomatology, especially in elderly patients.
Case report and review of the pertinent literature.
An 82-year old male with diabetes mellitus presented with a four-month history of backache and some difficulty walking without sphincter disturbance or fever. Spinal magnetic resonance imaging revealed a midthoracic intramedullary ring-like lesion that proved to be an abscess. Corticosteroids, gentamicin, and ciprofloxacin were given. The abscess resolved after three months.
Classically, treatment of intramedullary abscesses involves surgical drainage of the abscess cavity and administration of appropriate antibiotics, although medical therapy alone may be appropriate in some cases. If the diagnosis is unclear or patients do not respond to medical management, surgical decompression should be performed.
脊髓脓肿较为罕见。急性病变可能表现为伴有背痛和发热的脊髓综合征，而慢性脓肿往往表现出不那么特异的症状，尤其是老年患者。
病例报告并复习相关文献。
一位 82 岁男性，有糖尿病病史，表现为背痛 4 个月，行走有些困难，无括约肌功能障碍或发热。脊柱磁共振成像显示胸段髓内环状病变，证实为脓肿。给予皮质类固醇、庆大霉素和环丙沙星。3 个月后脓肿消退。
经典的治疗方法包括脓肿腔的外科引流和适当的抗生素治疗，尽管在某些情况下单独使用药物治疗可能是合适的。如果诊断不明确或患者对药物治疗无反应，应进行手术减压。
