Kamat A S, Thango N S, Husein M Ben
Division of Neurosurgery, H53 Old Main Building, Groote Schuur Hospital and Red Cross War Memorial Children's Hospital, University of Cape Town, Main Road, Observatory, Cape Town, South Africa.
Division of Neurosurgery, H53 Old Main Building, Groote Schuur Hospital and Red Cross War Memorial Children's Hospital, University of Cape Town, Main Road, Observatory, Cape Town, South Africa.
J Clin Neurosci. 2016 Aug;30:127-129. doi: 10.1016/j.jocn.2015.12.030. Epub 2016 Mar 5.
Intramedullary spinal cord abscesses are rare and potentially devastating lesions usually associated with other infective processes such as bacterial endocarditis, or pulmonary or urogenital infection. We describe a 2-year-old girl who presented with an infected dermal sinus leading to an intraspinal abscess. This abscess eventually spread and involved the entire neural axis leaving her quadriparetic. Drainage of the abscess resulted in recovery and the child regained normal function of her limbs. To our knowledge this is the first documented case of an intramedullary abscess involving the entire neural axis.
脊髓髓内脓肿罕见且具有潜在破坏性,通常与其他感染性疾病相关,如细菌性心内膜炎、肺部或泌尿生殖系统感染。我们报告一名2岁女童,因感染性皮窦导致脊髓内脓肿。该脓肿最终扩散并累及整个神经轴,导致她四肢瘫痪。脓肿引流后患儿康复,肢体功能恢复正常。据我们所知,这是首例有文献记载的累及整个神经轴的脊髓内脓肿病例。