与硬膜外麻醉相关的脊髓硬膜外脓肿：钆增强磁共振成像及其在诊断和治疗中的应用

Spinal epidural abscess associated with epidural anesthesia: gadolinium-enhanced magnetic resonance imaging and its usefulness in diagnosis and treatment.

作者信息

Higuchi T, Imagawa A, Murahashi M, Hara H, Wakayama Y

机构信息

Department of Internal Medicine, Showa University Fujigaoka Hospital, Yokohama.

出版信息

Intern Med. 1996 Nov;35(11):902-4. doi: 10.2169/internalmedicine.35.902.

DOI:10.2169/internalmedicine.35.902

PMID:8968807

Abstract

A case of spinal epidural abscess following epidural anesthesia is described. Gadolinium-enhanced magnetic resonance images were essential in diagnosis of the abscess without frank pus formation, in defining the extension of the infection, and in assessing the therapeutic effect. The patient was successfully treated non-operatively before neurological symptoms developed and full recovery was achieved.

摘要

本文描述了一例硬膜外麻醉后发生的脊柱硬膜外脓肿病例。钆增强磁共振成像对于脓肿尚未形成明显脓液时的诊断、确定感染范围以及评估治疗效果至关重要。该患者在出现神经症状之前成功接受了非手术治疗，并实现了完全康复。