후인두 농양과 동반된 전방 경부 경막의 농양 1례

Abstract

Epidural abscess of the cervical spine is a rare clinical condition. The presentation of this dis¬order is usually nonspecific and the diagnose unsuspected. In our case, a 30-year-old woman with retropharyngeal abscess presented with headache and neck pain and tenderness, followed by weakness and numbness of her right arm and shoulder 7 days later. Her cervical MRI showed diffuse retropharyngeal abscess, accompanied with anterior cervical epidural abscess extended from C1-2 level to C6-7 level. Neurosurgeons performed decompressive laminectomy and debridement with her impaired for less than 24 hours, followed by broad spectrum antibi¬otics administered intravenously for 4 weeks. Thereafter, she was recovered completely. Early diagnose is difficult but is crucial for successful therapy to reduce morbidity and mortality. We present a case of anterior cervical epidural abscess which combination of operation with antibi-otics improved completely.