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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pmj</journal-id><journal-title-group><journal-title xml:lang="ru">Тихоокеанский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Pacific Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1609-1175</issn><publisher><publisher-name>TGMU</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">pmj-531</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАБЛЮДЕНИЯ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>PRACTICE OBSERVATIONS</subject></subj-group></article-categories><title-group><article-title>Гнойные спинальные эпидуриты: скрытая угроза</article-title><trans-title-group xml:lang="en"><trans-title>Purulent spinal epiduritis: a latent threat</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фирсов</surname><given-names>С. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Firsov</surname><given-names>S. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Снопко</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Snopko</surname><given-names>S. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Корнилова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kornilova</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Туморин</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Tumorin</surname><given-names>L. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Дорожная клиническая больница на ст. Ярославль ОАО «РЖД»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Railway Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>28</day><month>12</month><year>2015</year></pub-date><volume>0</volume><issue>4</issue><fpage>92</fpage><lpage>94</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Фирсов С.А., Снопко С.В., Корнилова И.В., Туморин Л.С., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Фирсов С.А., Снопко С.В., Корнилова И.В., Туморин Л.С.</copyright-holder><copyright-holder xml:lang="en">Firsov S.A., Snopko S.V., Kornilova I.V., Tumorin L.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.tmj-vgmu.ru/jour/article/view/531">https://www.tmj-vgmu.ru/jour/article/view/531</self-uri><abstract><p>Гнойные спинальные эпидуриты - довольно редкая патология, в клинической картине которой нет патогномоничных симптомов, в связи с чем их диагностика затруднена, даже с использованием методов нейровизуализации. Представлены два клинических наблюдения гнойного спинального эпидурита с анализом клинической картины, диагностики и лечения. В обоих случаях проведены оперативные вмешательства в объеме ламинэктомии, вскрытия и дренирования абсцесса, что позволило добиться быстрого выздоровления и минимизировать возможные негативные последствия.</p></abstract><trans-abstract xml:lang="en"><p>Purulent spinal epidurit is a rare pathology, clinical picture which is not pathognomonic symptoms, and therefore the diagnosis is difficult. As an illustration presents 2 cases of suppurative spinal epidurit with the analysis of the diagnosis, clinical presentation and treatment. In both cases, surgical treatment was performed in a volume of laminectomy, incision and drainage of an abscess. The postoperative period was uneventful. This method of treatment has allowed to achieve a speedy recovery and to minimize of the serious consequences.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>спинальный эпидуральный абсцесс</kwd><kwd>магнитно-резонансная томография</kwd><kwd>ламинэктомия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>spinal epidural abscess</kwd><kwd>magnetic resonance imaging</kwd><kwd>laminectomy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Вишневский А.А., Шулешова Н.В. Спинной мозг. СПб.: Фолиант, 2014. 744 с.</mixed-citation><mixed-citation xml:lang="en">Вишневский А.А., Шулешова Н.В. Спинной мозг. СПб.: Фолиант, 2014. 744 с.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Гринберг М.С. Нейрохирургия: руководство / пер. с англ. 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