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Journal of Korean Neurosurgical Society 1998;27(3): 381-386.
A Surgical Treatment of the Cervicothoracic Spinal Actinomycosis with Spinal Cord Compression: Case Report.
Ki Yong Kim, Ki Hong Cho, Young Min Ahn, Se Huyck Kim, Young Hwan Ahn, Soo Han Yoon, Kyung Gi Cho
Department of Nerosurgury, College of Medicine, Ajou University, Suwon, Korea.
ABSTRACT
Actinomycosis with spinal involvement is very rare. We report a case of spinal actinomycosis with symptoms of spnal cord compression. A 55-year-old women had quadriparesis without evidence of systemic infection. In MRI findings, perivertebral granulomaous mass was compressing the sipinal cord at the level of first thoracic sipine with the signal change of cord and bony destruction. The patient was treated with two-staged opreations, antibiotics and rehabilitation training. She has improved neurologically and also in general condition. Due to rarity of incidence of entity, we reviewed the pertinent literature with discussion of diagnosis, treatment and the prognosis of this disease.
Key Words: Spinal actinomycosis; Infectious evidence; Cord compression; Treatment
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