副脊柱出现腹痛 - - 一例"红鱼"症状病例报告
Mayya Vorona1, James Livingstone2, Farzan Dholoo2
1St Peter's Hospital, General Surgery Department, Guildford St, Lyne, Chertsey, KT16 0PZ, UK. Mayya.vorona@nhs.net.
Spinal cord series and cases
|July 31, 2023
概括
副脊柱是一种罕见但严重的感染,可以压缩脊髓. 早期诊断和治疗,即使有不寻常的症状,也会导致患者的良好康复.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 副脊柱是一种不常见的副脊柱肌肉和软组织感染.
- 对脊髓的压缩作用可能导致神经系统缺陷.
- 由于非特异性症状而延迟诊断导致高发病率和死亡率.
研究的目的:
- 为了突出副脊柱的诊断挑战.
- 强调在不断变化的临床表现中考虑罕见差异的重要性.
- 为了证明成功管理和从脊柱中恢复.
主要方法:
- 一个59岁的女性患有副脊柱的病例报告.
- 胸部,腹部和骨盆的计算机断层扫描 (CTCAP) 的腹内病理的初始检查.
- 随后的头部,部和胸部计算机断层扫描 (CT) 显示了椎.
- 使用放射导向排水和静脉注射抗生素进行管理.
主要成果:
- 患者出现了腹上疼痛,最初误导了诊断.
- 在CTCAP中,没有发现腹内病理.
- 宫疼痛恶化和炎症标志物升高促使CT扫描,确定C1-3囊压缩.
- 成功治疗导致完全康复和瘤解脱,由MRI证实.
结论:
- 脊柱可以出现误导性症状,需要考虑更罕见的诊断.
- 迅速和准确的诊断对于有效的管理至关重要.
- 没有并发症的脊柱的患者可以在适当的治疗下获得很好的结果.
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