Kim Dong Min, Kim Seok Won
Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.
Department of Neurosurgery, Chosun University College of Medicine, Gwangju, Korea.
Korean J Spine. 2017 Mar;14(1):17-19. doi: 10.14245/kjs.2017.14.1.17. Epub 2017 Mar 31.
Gas-containing spinal epidural abscesses are uncommon. Moreover, acute spinal epidural abscesses rarely complicate bacterial meningitis in adults. Here, we report a rare case of a gas-containing cervical epidural abscess accompanying bacterial meningitis. In spite of aggressive fluid and continuous antibiotic therapy after the isolation of and in the cerebrospinal fluid cultures, the patient showed remaining motor dysfunction and bladder involvement. Our experience suggests that the effort to prevent neurologic deterioration by emergent surgical decompression and drainage of pus is mandatory to avoid additional spinal cord dysfunction in patients with spinal epidural abscesses accompanying bacterial meningitis.
含气性脊髓硬膜外脓肿并不常见。此外，急性脊髓硬膜外脓肿在成人细菌性脑膜炎中很少并发。在此，我们报告一例罕见的伴有细菌性脑膜炎的含气性颈段硬膜外脓肿病例。尽管在脑脊液培养分离出[具体病菌]后积极进行补液及持续抗生素治疗，但患者仍存在运动功能障碍及膀胱受累情况。我们的经验表明，对于伴有细菌性脑膜炎的脊髓硬膜外脓肿患者，通过紧急手术减压和引流脓液来预防神经功能恶化的努力对于避免额外的脊髓功能障碍是必不可少的。
