Shtaya Anan, Hettige Samantha
a Academic Neurosurgery Unit, Atkinson Morley Neurosurgery Centre , St George's, University of London , London , UK.
Br J Neurosurg. 2019 Feb;33(1):104-106. doi: 10.1080/02688697.2017.1297769. Epub 2017 Mar 3.
Intradural extramedullary spinal infections causing cauda equina compression are uncommon. We report an Escherichia coli bacteraemia causing lumbar discitis and an intracanalicular collection compressing the cauda equina: initially thought to be an epidural empyema, however microsurgery revealed an intradural location. Decompression, drainage, antibiotics, and neuropathy treatment are essential management.
引起马尾神经受压的硬脊膜内髓外脊髓感染并不常见。我们报告了一例由大肠杆菌菌血症引起的腰椎间盘炎及椎管内肿物压迫马尾神经的病例：最初被认为是硬膜外脓肿，然而显微手术显示其位于硬脊膜内。减压、引流、抗生素治疗及神经病变治疗是关键的治疗措施。
