|並列篇名||Pan-spinal Epidural Abscess Caused by Complicated Deep Neck Infection with Shock: Case Report and Literature Review|
|作者||陳立羣 、 謝陳平 、 陳世穎|
|關鍵字||脊椎長節硬腦膜外膿瘍 、 複雜深頸感染 、 膿胸 、 Spinal epidural abscess 、 deep neck infection 、 empyema|
Spinal epidural abscess is an uncommon but critical central nervous infection. It can be life threatening and result in severe morbidity. We presented with a case of pan-spinal epidural abscess with relation to deep neck infection, empyema and shock. He had sudden quadriplegia with numbness below shoulder, unstable hemodynamic status and respiratory failure. Emergency intubation, surgical debridement of the empyema and prescription of antibiotics were the initial treatments. His vital signs gradually stabilized and then he received surgical decompression of C1-3 laminectomy and debridement of the spinal abscess. After the antibiotic treatment and rehabilitation for 6 weeks his hands and legs weakness got much improving and can have oral intake by himself. Pan-spinal epidural abscess usually involves many other medical problems, therefore resulting poor physical condition and poor prognosis. With interdisciplinary teamwork and critical care medicine there is more and more evidence supporting that surgical intervention with antibiotic treatment and rehabilitation is recommended for the patient with pan-spinal epidural abscess.