Burdenko Neurosurgical Center, Moscow, Russia.
Irkutsk State Medical University, Irkutsk, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2023;87(1):77-83. doi: 10.17116/neiro20238701177.
Intramedullary abscesses of the spinal cord are the rarest form of infectious lesions of the central nervous system. We report surgical treatment of a patient with intramedullary cervical abscess caused by L. monocytogenes. Features of this case are absence of primary purulent focus and atypical infectious agent. The patient underwent surgical treatment for intramedullary cervical abscess and subsequent antimicrobial therapy. Subtotal regression of neurological symptoms was noted in early postoperative period. The authors emphasize strict collegial decision-making regarding diagnosis of this disease and choice of optimal treatment strategy.
脊髓髓内脓肿是中枢神经系统感染性病变中最罕见的一种。我们报告了一例由单核细胞增生李斯特菌引起的颈髓髓内脓肿患者的手术治疗。本病例的特点是无原发性脓性病灶和非典型病原体。患者接受了颈髓髓内脓肿的手术治疗和随后的抗菌治疗。术后早期观察到神经症状的完全消退。作者强调在诊断这种疾病和选择最佳治疗策略方面要严格进行团队决策。
