Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
J Clin Neurosci. 2011 Nov;18(11):1562-3. doi: 10.1016/j.jocn.2011.03.009. Epub 2011 Aug 24.
Spinal subdural empyemas are rare. We describe a 53-year-old male who presented with back pain, mental status changes, and sepsis. Five days prior he had undergone a triamcinolone and lidocaine injection of the acromial bursa. He also had a remote history of epidural steroid injection for thoracic back pain. Two lumbar MRI conducted 62 hours apart revealed a newly developed subdural empyema that was successfully treated with surgical evacuation and post-operative antibiotics.
脊柱硬膜下脓胸很少见。我们描述了一名 53 岁男性，他表现为背痛、精神状态改变和脓毒症。五天前，他接受了肩峰滑囊的曲安奈德和利多卡因注射。他还有胸背部疼痛硬膜外类固醇注射的远程病史。两次相隔 62 小时的腰椎 MRI 显示新出现的硬膜下脓胸，并成功通过手术清除和术后抗生素治疗。
