Triapthy Bikasa B, Sahoo Subrat K, Mohanty Manoj K, Jain Mantu, Sahoo Sangeeta
Department of Pediatric Surgery, AIIMS, Bhubaneswar, Odisha, India.
Department of Orthopedics, AIIMS, Bhubaneswar, Odisha, India.
Neurol India. 2020 Nov-Dec;68(6):1456-1458. doi: 10.4103/0028-3886.304112.
Spontaneous spinal epidural abscess is rare entity in neonates. These are surgical emergency in which early diagnosis and prompt decompression is necessary to avoid permanent cord damage. The diagnosis is based on clinical findings of paraplegia supported by radiological findings on an MRI. We found a large extra spinal abscess in an infant that on further evaluation showed a communicating epidural component, yet the baby was neurologically intact. The abscess was drained in emergency with clearance of epidural component and appropriate antibiotics instituted for Streptococcus pyogenes as per sensitivity. The patient is doing well at 6 months follow up.
自发性脊柱硬膜外脓肿在新生儿中是一种罕见的病症。这些属于外科急症，早期诊断和及时减压对于避免永久性脊髓损伤是必要的。诊断基于截瘫的临床症状，并由MRI的影像学检查结果予以支持。我们在一名婴儿中发现了一个巨大的椎体外脓肿，进一步评估显示存在一个与硬膜外相通的部分，但该婴儿神经功能完好。在急诊情况下对脓肿进行了引流，清除了硬膜外部分，并根据药敏结果给予了针对化脓性链球菌的适当抗生素治疗。患者在6个月的随访中情况良好。
