후인두 농양과 동반된 전방 경부 경막외 농양 1례
A case of Anterior Cervical Epidural Abscess associated with Retropharyngeal Abscess
김태일, 김성제, 배준석, 서상일, 김지은, 이동국,
소속 상세정보
김태일 ( ) - 대구가톨릭대학교 의과대학 신경과학교실
김성제 ( ) - 대구가톨릭대학교 의과대학 신경과학교실
배준석 ( ) - 대구가톨릭대학교 의과대학 신경과학교실
서상일 ( ) - 대구가톨릭대학교 의과대학 신경과학교실
김지은 ( Kim Ji-Eun ) - 대구가톨릭대학교 의과대학 신경과학교실
이동국 ( ) - 대구가톨릭대학교 의과대학 신경과학교실
KMID : 0352420000190020281
Abstract
Epidural abscess of the cervical spine is a rare clinical condition. The presentation of this disorder is usually nonspecific and the diagnose unsuspected. In our case, a 30-year-old woman with retropharyngeal abscess presented with headache and neck pain and tenderness, followed by weakness and numbness of her right arm and shoulder 7 days later. Her cervical MRI showed diffuse retropharyngeal abscess, accompanied with anterior cervical epidural abscess extended from C1-2 level to C6-7 level. Neurosurgeons performed decompressive laminectomy and debridement with her impaired for less than 24 hours, followed by broad spectrum antibiotics administered intravenously for 4 weeks. Thereafter, she was recovered completely. Early diagnose is difficult but is crucial for successful therapy to reduce morbidity and mortality. We present a case of anterior cervical epidural abscess which combination of operation with antibiotics improved completely.
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