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A Case Report of a 4-Year-Old Boy with Intradural Spinal Cord Abscess Successfully Treated with Adjuvant Hyperbaric

Ayse Sahin1, Mustafa Kilic, Nazan Dalgic

  • 1University of Health Sciences, Sisli Hamidiye Etfal Research and Education Hospital, Pediatric Infectious Diseases Clinic, Istanbul, Turkey.

Turkish Neurosurgery
|May 15, 2018
PubMed

Insights

Hyperbaric oxygen therapy (HBOT) can aid recovery in children with spinal abscesses when surgery and antibiotics fail. This treatment helped a young patient regain mobility after a complex spinal infection.

Area of Science:

  • Pediatric Neurosurgery
  • Infectious Diseases

Background:

  • Intradural spinal cord abscesses are rare in children, often linked to congenital spinal anomalies.
  • Treatment typically involves surgery and antibiotics, but some cases require adjunctive therapies.

Observation:

  • A 4-year-old male with a history of spina bifida developed an intradural spinal abscess.
  • Despite surgery and antibiotics, the patient showed no neurological improvement, necessitating further intervention.

Findings:

  • Adjunctive hyperbaric oxygen therapy (HBOT) was administered alongside continued antimicrobial treatment.
  • Following 20 HBOT sessions, the patient demonstrated improved mobility, walking with support.

Implications:

  • HBOT shows promise as an additional treatment for pediatric spinal abscesses unresponsive to standard care.
  • This case highlights HBOT's potential role in managing complex pediatric spinal infections.

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