Khursheed Nayil, Dar Sultan, Ramzan Altaf, Fomda Bashir, Humam Nisar, Abrar Wani, Singh Sarbjit, Sajad Arif, Mahek Masood, Yawar Shoaib
Department of Neurosurgery, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India.
Department of Microbiology, Sheri-Kashmir-Institute of Medical Sciences, Kashmir, India.
Surg Neurol Int. 2017 Sep 26;8:240. doi: 10.4103/sni.sni_105_17. eCollection 2017.
Spinal epidural abscess, although an uncommon disease, often correlates with a high morbidity owing to significant delay in diagnosis.
In a prospective 5-year study, the clinical and magnetic resonance (MR) findings, treatment protocols, microbiology, and neurological outcomes were analyzed for 27 patients with spinal epidural abscess.
Patients were typically middle-aged with underlying diabetes and presented with lumbar abscesses. Those undergoing surgical intervention >36 h after the onset of symptoms had poor neurological outcomes.
Early recognition and timely evacuation of spinal abscesses minimized neurological morbidity and potential mortality.
脊髓硬膜外脓肿虽属罕见疾病，但因诊断显著延迟，常导致高发病率。
在一项为期5年的前瞻性研究中，对27例脊髓硬膜外脓肿患者的临床及磁共振（MR）检查结果、治疗方案、微生物学情况及神经功能转归进行了分析。
患者多为中年，伴有潜在糖尿病，表现为腰部脓肿。症状出现后超过36小时接受手术干预的患者神经功能转归较差。
早期识别并及时引流脊髓脓肿可将神经功能损害及潜在死亡率降至最低。
