Wu L L, Chen S T, Tang L M
Department of Neurology, Chang Gung Memorial Hospital and Medical College, Taipei, Taiwan, R.O.C.
J Formos Med Assoc. 1994 Mar;93(3):253-5.
Traditionally, the treatment of choice for spinal epidural abscess (SEA) is decompressive laminectomy and debridement followed by antibiotics. In recent years, nonsurgical treatment in selected cases has been reported. This report describes a 39-year-old man with lumbar SEA diagnosed by computed tomographic-myelography. In the absence of neurological deficit and the presence of infective endocarditis and a known pathogen, the patient received only antibiotic treatment and made an uneventful recovery.
传统上,脊柱硬膜外脓肿(SEA)的首选治疗方法是减压性椎板切除术和清创术,随后使用抗生素。近年来,有报道称在某些病例中可采用非手术治疗。本报告描述了一名39岁男性,经计算机断层脊髓造影诊断为腰椎SEA。由于该患者没有神经功能缺损,且存在感染性心内膜炎和已知病原体,因此仅接受了抗生素治疗,恢复过程顺利。