幼儿先天性皮毛窦并脊髓内多发脓肿1例  

Case of Infant with Congenital Dermal Sinus Complicating Multiple Intramedullary Spinal Abscess

作　　者：侯新琳[1] 周丛乐[1] 姜毅[1] 李建国[1] 汤泽中[1] 

机构地区：[1]北京大学第一医院儿科,北京100034

出　　处：《实用儿科临床杂志》2005年第12期1235-1236,I0058,共3页Journal of Applied Clinical Pediatrics

摘　　要：目的通过对幼儿先天性皮毛窦并脊髓内多发脓肿的病例报告,加深对脊髓内脓肿的认识,减少先天性皮毛窦并脊髓内脓肿的发生。方法对1例先天性皮毛窦并脊髓内多发脓肿患儿的临床表现、实验室资料、影像学结果进行分析。结果本例患儿由于没有肃清感染灶,未手术治疗,没有定期进行详细的体格检查,导致发病时感染扩散,发生脊髓内多发性脓肿。结论脊髓内脓肿是一种罕见的疾病,会导致神经功能异常,如不积极治疗,预后差,MRI可确诊。先天性皮毛窦可并感染,感染扩散后可发生脊髓内脓肿,导致神经系统后遗症。对先天性皮毛窦患儿应及时手术治疗,避免感染的并发症。Objective To improve the recognition of intramedullary spinal abscess by a case of congenital dermal sinus with intramedullary spinal abscess and reduco the incidence of congenital dermal sinus with intrarnedullary spinal abscess. Methods Clinical, laboratory data and image of a confirmed case about one infant of congenital dermal sinus with multiple intrarnedullary spinal abscess were investigated, the related literature was reviewed. Results In this case, when the infant with congential dermal sinus had infection, he failed to gain antibiotic therapy, timely surgical treatment, his infection had diffused, and multiple intrarnedullary spinal abscess flared up. Conclusions Intramedullary spinal abscess is a rare disease. If treatment is delayed, the prognosis is poor and the mortality rate is high. MRI is the ideal investigation for diagnosis. Intramedullary spinal abscess can happen subsequent to congenital dermal sinus with infection, and cause neurological sequela. So an infant with congenital dermal sinus should be offered to avoid complication caused by infection.

关 键 词：脊髓内脓肿 皮毛窦 先天性 核磁共振成像 

分 类 号：R744[医药卫生—神经病学与精神病学]