腰部面部的无线电频率变质后的脊髓外周:病例报告
1Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA.
Pain medicine case reports
|October 1, 2025
概括
脊柱外围 (SEAs) 是一种罕见的并发症. 这一案例突出显示了仅在射频剥离 (RFA) 后的新SEA呈现,强调了临床意识的必要性.
科学领域:
- 神经外科 神经外科
- 传染性疾病 传染性疾病
背景情况:
- 脊柱外围 (SEAs) 不常见,每年发生率为0.2-2.8/10,000.
- 危险因素包括免疫抑制,静脉注射药物使用,糖尿病,艾滋病毒,创伤,纹身和细菌病.
- 典型的症状包括不适,发烧,背痛和潜在的神经缺陷.
研究的目的:
- 报告一个罕见的脊柱外围 (SEA) 病例,该病例是在射频消化 (RFA) 之后出现的.
- 提高临床医生对RFA手术后这种潜在并发症的认识.
主要方法:
- 一个59岁的老人出现了轴向下背部疼痛的病例报告.
- 患者接受了L4/L5断层切除术,并开始接受抗生素治疗.
- 血液培养物确定了Actinomyces,导致在出院后需要长时间的抗生素治疗.
主要成果:
- 患者在接受射频切除 (RFA) 后出现了脊髓外围 (SEA).
- 在这位患者身上,没有发现SEA的先前存在的风险因素.
- 从血液培养物中确定了Actinomyces作为致病剂.
结论:
- 在射频除 (RFA) 后的脊髓外周 (SEA) 之前没有报告.
- 这一案例代表了SEA的新呈现,仅仅发生在RFA之后.
- 临床医生应该考虑SEA作为RFA后可能的并发症,即使在没有典型风险因素的患者中也是如此.
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