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脊髓麻醉后脊髓硬膜外脓肿:常见手术的罕见并发症。

Spinal Epidural Abscess Post Spinal Anesthesia: An Uncommon Complication of a Common Procedure.

作者信息

Mallik Jeevesh, Motiani Vanita, Pai Manish Ganesh

机构信息

Department of Neurosurgery, Tata Main Hospital, Jamshedpur, Jharkhand, India.

Department of Internal Medicine, Ziauddin Medical University, Karachi, Pakistan.

出版信息

Asian J Neurosurg. 2020 Aug 28;15(3):730-732. doi: 10.4103/ajns.AJNS_154_20. eCollection 2020 Jul-Sep.

Abstract

Spinal epidural abscess (SEA) is a severe pyogenic infection of the epidural space. Bacteria gain access to the epidural space either by hematogenous spread, contiguous spread from a neighboring infected structure, or through iatrogenic inoculation. The diagnosis of SEA is a challenge, largely because of its rarity. We present here a case of SEA of iatrogenic origin (post spinal anesthesia), which we treated at Tata Main Hospital, Jamshedpur.

摘要

脊髓硬膜外脓肿(SEA)是硬膜外间隙的一种严重化脓性感染。细菌可通过血行播散、邻近感染结构的直接蔓延或医源性接种进入硬膜外间隙。SEA的诊断颇具挑战性,主要原因是其罕见性。我们在此介绍一例医源性起源(脊髓麻醉后)的SEA病例,该病例在贾姆谢德布尔的塔塔主医院接受了治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/371e/7591180/e65482f25c66/AJNS-15-730-g001.jpg

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