Rapidly Progressing Intramedullary Spinal Cord Abscess: A Case Report

DOI Web Site 参考文献15件
  • EHARA Takuro
    Department of Neuro-Oncology/Neurosurgery, International Medical Center, Saitama Medical University
  • SUZUKI Tomonari
    Department of Neuro-Oncology/Neurosurgery, International Medical Center, Saitama Medical University
  • MIZUNO Reina
    Department of Neuro-Oncology/Neurosurgery, International Medical Center, Saitama Medical University
  • SHIRAHATA Mitsuaki
    Department of Neuro-Oncology/Neurosurgery, International Medical Center, Saitama Medical University
  • MISHIMA Kazuhiko
    Department of Neuro-Oncology/Neurosurgery, International Medical Center, Saitama Medical University
  • HOMMA Taku
    Department of Pathology, International Medical Center, Saitama Medical University

抄録

<p>Intramedullary spinal cord abscess is a rare and severe infectious disease characterized by devastating neurological deficits. We report a case of cervical intramedullary spinal cord abscess in a 74-year-old diabetic male with a 3-day history of neck pain and weakness in the right lower extremity. Magnetic resonance imaging revealed a ring-shaped contrast lesion in C3-C6 of the cervical spinal cord with extensive edema. Further, 1 day after admission, he became comatose (Glasgow Coma Scale E1VtM1), and a computed tomography head scan revealed hydrocephalus. Despite emergency ventricular drainage, the patient's level of consciousness remained unchanged. Magnetic resonance imaging performed 1 day after surgery revealed bilateral intracranial extension of the abscess into the thalamus and caudate nucleus. The patient died 19 days after admission. Our report is the first case of extensive brain abscess development over a short period. Based on our experience, prompt administration of antibiotics and emergency abscess drainage of the cervical cord (and ventricular drainage, if necessary) are recommended in cases of neurological deterioration in patients with cervical intramedullary spinal cord abscess.</p>

収録刊行物

  • NMC Case Report Journal

    NMC Case Report Journal 11 (0), 43-47, 2024-12-31

    一般社団法人 日本脳神経外科学会

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