What to pay attention to when children have epidural abscess of the dural sac

Patient's question:

A child in a friend's family was recently hospitalized. I heard it's a pediatric epidural abscess. What is a pediatric epidural abscess? What kind of medicine should be taken for a pediatric epidural abscess?

Doctor's answer:

It is important to correct fluid and electrolyte disorders, enhance nutrition, prevent hemorrhoids and complications, and appropriately apply neurotrophic drugs to promote the recovery of nerve function.
During surgery: If purulent fluid is found to be leaking from the subdural space during the procedure, it can be punctured along the track, or the dural puncture may be enlarged, potentially allowing the aspiration of purulent fluid. The abscess may be flushed out, but the spinal cord may not be respected. The arachnoid should not be forcibly stripped to avoid spreading inflammation or damaging the spinal cord.
Postoperative treatment: The same spinal canal and vertebral body exploration should be performed. The purulent fluid from the wound is used for bacterial culture and antibiotic sensitivity testing, and appropriate antibiotics are administered systemically.

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