척수내 유피낭종 환아에서 발생한 화농성 척수공동증 1례

A case of pyomyelia with intramedullary dermoid cyst

저자들은 5개월된 남아에서 유피동과 척수내 유피낭종이 척수강에 연결되어 예후가 나쁜 급성, 다발성의 척수내 농양, 즉 화농성 척수공동증으로 나타난 증례를 자기 공명영상으로 진단하고 항생제와 여러 차례의 배농으로 신경학적 호전을 보인 후에 수술로 원인을 제거하여 생존한 증례를 국내에서는 처음으로 경험하였기에 보고하는 바이다.

A 5 month-old male infant presented with high fever and progressive motor weakness of both lower extremities. He had skin dimpling on the back. Spine MRI reaveled that he had multiple intramedullary abscesses which are connected with hydrosyringomyelia, intramedullary dermoid cyst and dermal sinus tract. Initially he was treated with antibiotics and frequent spinal tapping for one month. Consequently his neurologic signs began to improve, so the operation was done. It is considered that he might be the first case who survived with frequent spinal tapping before surgery.