Papilledema as a manifestation of a spinal subdural abscess

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• 作者：Melissa W. Ko ; Benjamin Osborne ; Sungmi Jung ; Dina A. Jacobs ; Paul Marcotte ; Steven L. Galetta
• 关键词：Papilledema ; Spinal subdural abscess ; Post-operative complication ; Lumbar laminectomy
• 刊名：Journal of the Neurological Sciences
• 出版年：2007
• 期刊代码：178_0022510x
• 类别：med
• 出版时间：15 September 2007
• 卷：260
• 期：1-2
• 页码：288-292
• 文件大小：942 K

摘要

Papilledema is an uncommon presentation of spinal cord processes. Spinal subdural abscess (SSA) is a rare site of post-operative infection. We report a patient who developed papilledema as the primary manifestation of a post-operative lumbar subdural abscess. A spinal abscess should be considered in the post-operative spinal surgery patient who develops papilledema in the setting of persistent back pain. The increased intracranial pressure associated with lumbar spinal cord abscess most likely results from a markedly elevated cerebrospinal fluid (CSF) protein or the disruption of CSF flow in the spinal cul-de-sac.