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食管镜检查后颈椎硬膜外脓肿。

Cervical spinal epidural abscess after oesophagoscopy.

机构信息

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S369-72. doi: 10.1007/s00586-012-2478-6. Epub 2012 Aug 24.

DOI:10.1007/s00586-012-2478-6
PMID:22918512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3641258/
Abstract

INTRODUCTION

Spinal epidural abscess is an uncommon entity, especially in the cervical region.

CASE REPORT

We report a patient with epidural abscess, vertebral osteomyelitis and discitis in the cervical spine that was caused by iatrogenic perforation of the pharynx during diagnostic oesophagoscopy, which has not been recorded previously in the literature.

CONCLUSION

Cervical spinal epidural abscess may be caused by iatrogenic perforation of pharyngeal wall during diagnostic oesophagoscopy. Early diagnosis with an MRI and surgical treatment with antimicrobial chemotherapy are keys to successful management of this rare and life-threatening complication.

摘要

介绍

硬脊膜外脓肿是一种罕见的病症,尤其是在颈椎部位。

病例报告

我们报告了一例由诊断性食管镜检查时咽壁医源性穿孔引起的颈椎硬脊膜外脓肿、椎体骨髓炎和椎间盘炎的患者,这在文献中尚未有记录。

结论

颈椎硬脊膜外脓肿可能是由诊断性食管镜检查时咽壁医源性穿孔引起的。早期诊断、MRI 检查和手术治疗联合抗菌药物化疗是成功治疗这种罕见且危及生命的并发症的关键。

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Cervical spinal epidural abscess after oesophagoscopy.食管镜检查后颈椎硬膜外脓肿。
Eur Spine J. 2013 May;22 Suppl 3(Suppl 3):S369-72. doi: 10.1007/s00586-012-2478-6. Epub 2012 Aug 24.
2
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Spinal epidural abscess after cervical pharyngoesophageal dilation.颈段咽食管扩张术后脊髓硬膜外脓肿
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引用本文的文献

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J Clin Med. 2023 Jul 5;12(13):4509. doi: 10.3390/jcm12134509.
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Recent Developments in the Treatment of Spinal Epidural Abscesses.脊柱硬膜外脓肿治疗的最新进展
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Cervical spondylodiscitis following an invasive procedure on the neopharynx after circumferential pharyngolaryngectomy: a retrospective case series.
Eur Spine J. 2016 Dec;25(12):3894-3901. doi: 10.1007/s00586-016-4741-8. Epub 2016 Aug 26.
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Polymicrobial vertebral osteomyelitis after oesophageal biopsy: a case report.食管活检后多微生物性脊椎骨髓炎:一例报告
BMC Infect Dis. 2016 Mar 31;16:141. doi: 10.1186/s12879-016-1471-9.
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Spinal epidural abscess following glossectomy and neck dissection: A case report.舌癌切除术及颈部清扫术后发生的脊柱硬膜外脓肿:一例报告。
Int J Surg Case Rep. 2016;20:33-6. doi: 10.1016/j.ijscr.2016.01.004. Epub 2016 Jan 12.
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A 73-Year-Old Male with Cervical Spine Osteomyelitis Presenting as Urosepsis.一名73岁男性,颈椎骨髓炎表现为尿脓毒症。
Clin Med Insights Case Rep. 2015 Dec 20;8:105-7. doi: 10.4137/CCRep.S31253. eCollection 2015.

本文引用的文献

1
Cervical epidural abscess and vertebral osteomyelitis following non-traumatic oesophageal rupture: a case report and discussion.非创伤性食管破裂后并发颈椎硬膜外脓肿和椎体骨髓炎:一例报告及讨论
Eur Spine J. 2009 Jul;18 Suppl 2(Suppl 2):224-7. doi: 10.1007/s00586-009-0889-9. Epub 2009 Jan 31.
2
High thoracic spinal infection following upper gastrointestinal work-up.
J Clin Neurosci. 2007 Nov;14(11):1132-5. doi: 10.1016/j.jocn.2006.02.023. Epub 2007 May 11.
3
Spinal epidural abscess after cervical pharyngoesophageal dilation.颈段咽食管扩张术后脊髓硬膜外脓肿
Head Neck. 2005 Jun;27(6):543-8. doi: 10.1002/hed.20183.
4
Adult spinal epidural abscess: clinical features and prognostic factors.成人脊柱硬膜外脓肿:临床特征及预后因素
Clin Neurol Neurosurg. 2002 Sep;104(4):306-10. doi: 10.1016/s0303-8467(02)00020-3.
5
Spinal epidural abscess: a meta-analysis of 915 patients.脊柱硬膜外脓肿:915例患者的荟萃分析
Neurosurg Rev. 2000 Dec;23(4):175-204; discussion 205. doi: 10.1007/pl00011954.
6
Spinal epidural abscess: contemporary trends in etiology, evaluation, and management.脊柱硬膜外脓肿:病因、评估及管理的当代趋势
Surg Neurol. 1999 Aug;52(2):189-96; discussion 197. doi: 10.1016/s0090-3019(99)00055-5.
7
Spinal epidural abscess: a review of epidemiology, diagnosis, and treatment.脊柱硬膜外脓肿:流行病学、诊断与治疗综述
J Spinal Disord. 1999 Apr;12(2):89-93.
8
Surgical decompression: a life-saving procedure for an extensive spinal epidural abscess.手术减压:一种用于广泛脊髓硬膜外脓肿的挽救生命的手术。
Eur Spine J. 1997;6(5):332-5. doi: 10.1007/BF01142681.
9
Cervical osteomyelitis after rigid oesophagoscopy: brief report.
J Bone Joint Surg Br. 1988 Jan;70(1):147-8. doi: 10.1302/0301-620X.70B1.3339050.