Recovery after tetraplegia caused by dermal sinus infection: intramedullary abscess and tetraparesis.
Pediatr Neurol
; 44(3): 229-32, 2011 Mar.
Article
em En
| MEDLINE
| ID: mdl-21310342
ABSTRACT
Congenital dermal sinuses result from abnormal neurulation, and are uncommon. A spinal intramedullary abscess secondary to an infected dermoid cyst is very rare, and the functional prognosis is usually quite poor. We report on a 16-month-old child with tetraplegia secondary to intramedullary abscesses because of a dermoid cyst infection associated with a dermal sinus. The abscesses were drained, and the dermoid cyst was removed. Antibiotics were administered for 6 weeks after neurosurgery. The child was followed at a pediatric rehabilitation department. After 1 year, he was able to walk quickly and had regained appropriate upper limb motor function for his age. However, bladder sphincter dyssynergia persisted, requiring intermittent catheterization. This case highlights the importance of early diagnosis for surgical intervention and prolonged antibiotic therapy. Long-term follow-up by a multidisciplinary team allowed for the effective management of related neurologic, orthopedic, and bladder disorders.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Quadriplegia
/
Abscesso Encefálico
/
Espinha Bífida Oculta
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Infecções por Bacteroidaceae
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Recuperação de Função Fisiológica
Tipo de estudo:
Prognostic_studies
/
Screening_studies
Limite:
Humans
/
Infant
/
Male
Idioma:
En
Revista:
Pediatr Neurol
Assunto da revista:
NEUROLOGIA
/
PEDIATRIA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
França