Epidurit acute spinal
Epidurit acute spinal (epidural abscess) - focal purulent inflammation of epidural spinal cord tissue.
Etiology, pathogenesis. The disease occurs as a complication of purulent foci of infection (Staphylococcus aureus), wherever located, septicopyemia or osteomyelitis of the spine. Epidural abscess formation causes compression of the spinal cord.
Symptoms within. Against obscheinfektsionnyh manifestations (high fever, neutrophilia, increased erythrocyte sedimentation rate, total serious condition) occur intense radicular pain. Against this background quickly formed spinal cord compression in the form of para- or quadriplegia, loss of sensation below the level of the abscess and pelvic disorders. Lumbar puncture reveals a certain degree of blockade of subarachnoid space (Kvekkenshtedta test) and increasing the protein content of the cerebrospinal fluid. Lumbar puncture, however, only permissible if the cervical or thoracic hearth. Trying to study tse-rebrospinalnoy liquid at lumbosacral localization abscess inevitably fraught with infection in the subarachnoid space, which entails the development of purulent meningitis.
Diagnosis epidurita is relatively simple and is based on a combination of obscheinfektsionnyh with radicular symptoms, spinal. The greatest difficulty is differentiation epidurita from transverse myelitis. Due to the fact that the isolated myelitis is a rare disease in all cases of doubt, priority should be given epidurita, dictates the need for emergency surgery. Showing myelography and computed tomography.
Treatment with surgery alone: laminectomy and removal of an abscess. Before and after surgery should be prescribed massive doses of antibiotics.
Forecast. With timely surgical intervention is usually recovery occurs. In severe cases, irreversible spinal cord damage, paralysis, bed sores, urinogenous infection.
- Nerve disease
- Epilepsy
- Spina Bifida
- Cephalopyosis
- Cerebral aneurysms
- Arachnoiditis
- Amyotrophic lateral sclerosis
- hepatolenticular disease
- Hydrocephalus
- Headache
- Dizziness
- Cerebral palsy
- Diencephalic (hypothalamic) syndrome
- brain stroke
- Coma
- Kraniosteoz
- leukodystrophy
- meningitis
- myasthenia
- migraine neuralgia
- Migraine (hemicrania)
- Myelitis
- myelopathy
- Microcephaly
- myotonia congenital
- dystrophic myotonia
- mononeuropathy
- mucopolysaccharidosis
- sleeping disease
- Tic douloureux
- Neuropathy of the facial nerve
- Neyrorevmatizm
- neurosyphilis
- Fainting
- Opoyacyvayuschy versicolor
- Brain Tumor
- Spinal cord tumor
- ophthalmoplegia
- Parkinsonism
- Perinatal encephalopathy
- Periodic paralysis family
- Peroneal amyotrophy of Charcot-Marie
- Hepatic encephalopathy
- plexopathy
- polyneuropathy
- Polio is an acute epidemic
- Demyelinating polyradiculoneuropathy acute Guillain-Baree
- postdural puncture syndrome
- Progressive muscular dystrophy
- discogenic radiculopathy
- Multiple sclerosis
- Syringomyelia
- Spinal amyotrophy
- Tremor
- phakomatoses
- funicular myelosis
- Chorea
- Traumatic brain injury
- Adie syndrome
- encephalitis virus
Comments
Commenting, keep in mind that the content and the tone of your messages can hurt the feelings of real people, show respect and tolerance to his interlocutors, even if you do not share their opinion, your behavior in terms of freedom of speech and anonymity offered by the Internet, is changing not only virtual, but real world. All comments are hidden from the index, spam control.