硬脊膜内脓肿：一项具有挑战性的诊断。病例系列及文献综述
Intradural abscess: A challenging diagnosis. Case series and review of the literature.
作者信息
Romano Allegra, Blandino Antonella, Romano Andrea, Palizzi Serena, Moltoni Giulia, Acqui Michele, Miscusi Massimo, Bozzao Alessandro
机构信息
Neuroradiology Unit, Sant'Andrea Hospital, Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Sapienza University of Rome, Rome, Italy.
Division of Neurosurgery, Sant'Andrea Hospital, Department of Neuroscience, Mental Health and Sense Organs (NESMOS), Sapienza University of Rome, Rome, Italy.
出版信息
Radiol Case Rep. 2023 Sep 13;18(11):4140-4144. doi: 10.1016/j.radcr.2023.08.084. eCollection 2023 Nov.
Spinal intradural abscesses are extremely rare. To our knowledge, only a few cases have been described in the literature. We report 2 cases of spinal intradural abscesses in patients presenting to our institution with different symptomatology. Both cases involved the lumbar spine, with different etiologies: Case 1 was presumptively related to spondylitis phenomena, with surgery confirming the intradural localization of the abscess; case 2 was of probable iatrogenic nature (secondary to lumbar drain positioning). The aim of this report is to briefly discuss the clinical significance and pathogenesis of these cases.
脊髓硬膜内脓肿极为罕见。据我们所知，文献中仅描述过少数病例。我们报告了2例脊髓硬膜内脓肿病例，这2例患者在我院就诊时表现出不同的症状。两例均累及腰椎，病因各异：病例1据推测与脊柱炎现象有关，手术证实脓肿位于硬膜内；病例2可能具有医源性（继发于腰大池引流管放置）。本报告旨在简要讨论这些病例的临床意义及发病机制。
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