一种不常见的多重脊柱外围的呈现:一个病例报告
Saja Karaja1, Shafiq Alassaf1, Ahed Assaf1
1Faculty of Medicine, Hama University, Hama, Syria.
International journal of surgery case reports
|May 16, 2025
概括
脊柱外围 (SEA) 可以呈现出各种症状,使得及时诊断至关重要. 早期的手术排水和向性抗生素对于预防严重的神经损伤至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 神经外科 神经外科
背景情况:
- 脊髓外周 (SEA) 是脊髓外周空间的严重,罕见的感染.
- SEA越来越多地与侵袭性脊柱手术和静脉注射药物使用有关.
- 及时诊断对于预防显著的神经系统缺陷至关重要.
研究的目的:
- 为了突出脊柱外围的可变临床表现.
- 强调迅速诊断和治疗SEA的重要性.
- 强调需要提高风险人群对SEA的认识.
主要方法:
- 一个51岁的男性患有复杂症状的病例报告.
- 诊断工作包括神经学检查,成像和脑脊液分析.
- 微生物培养物识别了金黄色葡萄球菌,指导了抗生素的选择.
主要成果:
- 患者出现了尿路/肠道阻塞,半,发烧和黄.
- 图像和脑脊液分析证实了多个外周.
- 确定了金黄色葡萄球菌,对万科米辛和美罗胺敏感.
结论:
- 海洋性瘤可以表现为非特异性症状,需要详细的病史和成像.
- 早期的手术减压和适当的抗生素治疗对于有利的结果至关重要.
- 增加对SEA的临床警对于避免不可逆转的神经损伤至关重要.
相关概念视频
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
421
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
421
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
591
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
591