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KMID : 0352420000190020281
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Keimyung Medical Journal
2000 Volume.19 No. 2 p.281 ~ p.286
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A case of Anterior Cervical Epidural Abscess associated with Retropharyngeal Abscess
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Kim Ji-Eun
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Abstract
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Epidural abscess of the cervical spine is a rare clinical condition. The presentation of this disorder 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 antibiotics 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 antibiotics improved completely.
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KEYWORD
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