Zhang Wen, Lai Yudong, Li Tao, Wang Xingpeng, Mu Weidong, Jiang Zhensong
Department of Spine Surgery, Shandong University of Traditional Chinese Medicine, Jinan, People's Republic of China.
Department of spine surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, People's Republic of China.
Infect Drug Resist. 2023 Mar 18;16:1591-1598. doi: 10.2147/IDR.S405448. eCollection 2023.
The incidence of a spinal epidural abscess (SEA), which can cause serious neurological complications, is low; however, the incidence of SEA caused by Streptococcus is even lower, most of which are reported in the thoracolumbar spine and lumbosacral segment. We reported a case of cervical SEA caused by infection, resulting in paralysis of the patient. The acute onset of SEA in a 44-year-old male led to decreased upper limb muscle strength, lower limb paralysis, and loss of bowel and bladder function, and imaging and blood tests suggested pyogenic spondylitis. Emergency decompression surgery and antibiotic therapy were given, the patient gradually recovered, and the muscle strength of the lower limbs gradually improved. This case report suggests the importance of early decompressive surgery and effective antibiotic therapy.
可导致严重神经并发症的脊柱硬膜外脓肿（SEA）发病率较低；然而，由链球菌引起的SEA发病率更低，其中大多数病例报告发生在胸腰椎和腰骶段。我们报告了一例因感染导致的颈椎SEA病例，该病例致使患者瘫痪。一名44岁男性SEA急性发作，导致上肢肌力下降、下肢瘫痪以及大小便功能丧失，影像学和血液检查提示为化脓性脊柱炎。给予了急诊减压手术和抗生素治疗，患者逐渐康复，下肢肌力逐渐改善。本病例报告提示了早期减压手术和有效抗生素治疗的重要性。
