Cervical Epidural Abscess Presenting with Brown-Sequard Syndrome in a Patient with Type 2 Diabetes
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概要
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An 80-year-old woman with type 2 diabetes was admitted due to right-handed muscle weakness. The patient presented with Brown-Sequard syndrome, with complete paralysis of the right lower limb along with a loss of pain and temperature sensations in the left lower limb. Magnetic resonance imaging revealed a cervical epidural abscess, and accompanying edema or inflammation of the right side of the spinal cord at the C5 level. She underwent drainage and evacuation of the spinal abscess, followed by intravenous antibiotic administration. These interventions ameliorated the neurological deficits. The present case suggests the importance of epidural abscess as a rare pathogenetic cause of Brown-Sequard syndrome in type 2 diabetes.
著者
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Nishimoto Yuki
Department of Chemico-Pharmacological Sciences, Graduate School of Pharmaceutical Sciences, Kumamoto
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Tamori Yoshikazu
Department of Internal Medicine, Chibune Hospital
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Takahashi Tetsuya
Department of Internal Medicine, Chibune Hospital
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Suwa Hideyuki
Department of Neurosurgery, Chibune Hospital
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Ohno Kyota
Department of Internal Medicine, Chibune Hospital
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Nakajima Shinsuke
Department of Internal Medicine, Chibune Hospital
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Asada Masahiro
Department of Neurosurgery, Chibune Hospital
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Kita Tetsuya
Department of Internal Medicine, Chibune Hospital
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Tsutsumi Masaharu
Department of Internal Medicine, Chibune Hospital
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Suwa Hideyuki
Department Of Neurosurgery And Department Of Pathology Shizuoka General Hospital
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Asada Masahiro
Department Of Electrical And Electronic Engineering Tokyo Institute Of Technology
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Tamori Yoshikazu
Department Of Diabetes And Metabolism Kobe University School Of Medicine
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Takahashi Tetsuya
Department Of Avian Endocrinology Gifu University
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Nishimoto Yuki
Department Of Chemico-pharmacological Sciences Graduate School Of Pharmaceutical Sciences Kumamoto U
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NAKAJIMA Shinsuke
Department of Chemical Engineering, Kansai University
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