지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 193 - 198 (6page)
- DOI
- https://doi.org/10.13004/kjnt.2021.17.e18
이용수
초록· 키워드
오류제보하기
Spinal epidural abscess (SEA) is an unusual form of spinal infection. Performing multilevel laminectomies is controversial in cases of extensive SEA considering the long surgical time and mechanical instability. Here, we report the case of an older woman with extensive SEA and poor general condition who was successfully treated with a less invasive treatment, namely skipped laminotomy using a pediatric feeding tube. A 79-year-old woman complained of progressive weakness in both legs, fever, and back pain. An extensive epidural abscess from the T3 to L5 vertebrae was observed on thoracic and lumbar magnetic resonance imaging (MRI). We performed skipped laminotomy at the T8 and T12 levels, and a 5-Fr pediatric feeding tube was advanced from the caudal level toward the rostral area and rostral level toward caudal level into the dorsal epidural space. Subsequently, regurgitation was performed with saline through the pediatric feeding tube at each level. Following this, to further irrigate the unexposed epidural abscess through laminotomy, the epidural space was washed by continuous irrigation, and the irrigation system was maintained for 48 hours. Follow-up MRI performed 3 weeks after the procedure confirmed near complete removal of the abscess in the thoracic spine, with a small residual abscess in the lumbar spine.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Abd-El-Barr MM / 2015 / Extensive spinal epidural abscess treated with"apical laminectomies"and irrigation of the epidural space : report of 2 cases / J Neurosurg Spine 22:318~323
Ahuja K / 2019 / Spinal holocord epidural abscess evacuated with double thoracic interval laminectomy : a rare case report with literature review / Spinal Cord Ser Cases 5:62
Bluman EM / 2004 / Spinal epidural abscess in adults / J Am Acad Orthop Surg 12:155~163
Duc C / 2002 / Extensive primary epidural abscess. Report of a case / Joint Bone Spine 69:312~315
Eismont FJ / 1983 / Pyogenic and fungal vertebral osteomyelitis with paralysis / J Bone Joint Surg Am 65:19~29
Ahuja K / 2019 / Spinal holocord epidural abscess evacuated with double thoracic interval laminectomy : a rare case report with literature review / Spinal Cord Ser Cases 5:62
Bluman EM / 2004 / Spinal epidural abscess in adults / J Am Acad Orthop Surg 12:155~163
Duc C / 2002 / Extensive primary epidural abscess. Report of a case / Joint Bone Spine 69:312~315
Eismont FJ / 1983 / Pyogenic and fungal vertebral osteomyelitis with paralysis / J Bone Joint Surg Am 65:19~29
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