Gao G, Chen Y, Tao B, Sun M, Bai S, Shang A. Early surgical intervention with antibiotic treatment for congenital dermal sinus with central nervous system infection: a retrospective study of 20 cases.
World Neurosurg 2022;
164:e17-e23. [PMID:
35247614 DOI:
10.1016/j.wneu.2022.02.102]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Revised: 02/24/2022] [Accepted: 02/25/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE
This study aimed to investigate the efficacy of surgical intervention with antibiotic treatment for congenital dermal sinus (CDS) with central nervous system infection.
METHODS
The clinical data of 20 patients with CDS and central nervous system infection were retrospectively analyzed. All patients received early surgical treatment combined with postoperative antibiotic therapy after the diagnosis was confirmed. The infection control effect was evaluated according to the clinical symptoms, laboratory examination results, and improvement of neurological function.
RESULTS
All 20 patients were treated with complete resection of the CDS and postoperative antibiotic therapy. No severe surgical complications occurred. All patients were followed up for 3-81 months with a median time of 37.5 months. Postoperative infection was effectively controlled with no recurrence. Neurological dysfunction and its related symptoms improved to varying extents after treatment, and the Spina Bifida Neurological Scale score at the final follow-up significantly increased.
CONCLUSION
Patients with CDS and central nervous system infection should be surgically managed at an early stage with antibiotic treatment. This treatment algorithm was effective to control infection and protect neurological function.
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