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    Home > Active Ingredient News > Anesthesia Topics > Analysis of two cases of misdiagnosis of thoracic epidural abscess

    Analysis of two cases of misdiagnosis of thoracic epidural abscess

    • Last Update: 2021-12-03
    • Source: Internet
    • Author: User
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    Clinical Diagnosis Clinical Diagnosis 1.
    Case data Figure 1a.
    Back
    ulcerated pustule; Figure 1b.
    MRI enhanced scan showed abnormal signal focus of epidural and subcutaneous in the spinal canal at the level of the 4th to 6th thoracic vertebrae.
    In the enhanced area, the thoracic spinal cord was significantly compressed; antibiotic infection

     Figure 1c.
    Reexamination of the thoracic spine 1 week after surgery showed that the spinal canal was decompressed sufficiently, and there was no antibiotic infection due to dural sac compression Figure 2 Examination of a patient with an epidural abscess of the thoracic spine (Example 2) 2a.
    Ulcerated "corns"; 2b.
    MRI plain scan showed that there were long strips of T2WI and T2WI-SPAIR at the level of the 6th to 8th thoracic vertebrae.
    , T1WI slightly low signal shadow, the border is still clear, the adjacent thoracic spinal cord showed compression changes; 2c.
    3 weeks after the re-examination of the MRI showed: no obvious abnormal signal in the thoracic spinal canal epidural, no obvious compression of the thoracic spinal cord 2.
    Discussion 2.
    1 pathogenesis of thrombotic vascular 2.
    2 symptoms and signs 2.
    3 diagnosis and differential diagnosis 2.
    4 misdiagnostic 2.
    5 misdiagnosis prevention measures screening diabetes immune 2.
    6 treatment and prognosis of diabetes diabetes thoracic epidural abscess misdiagnosis two cases [J].
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