OBJECTIVE: To evaluate the impact, on morbidity and mortality, of aggressive surgical management of subdural empyema of sinus origin in children. METHOD: The authors conducted a retrospective review of 20 children admitted between 2000-2007 to Alder Hay Children Hospital and The Walton centre for Neurology and Neurosurgery for subdural empyema secondary to sinus infection. Clinical presentation, duration of symptoms, radiological investigations, surgical treatment and post-operative outcome were evaluated. RESULTS: Outcome was favourable in 19 cases. In four cases, there were re-accumulation requiring surgical evacuation, four patients experienced post-operative seizures but were seizure-free at follow-up. There was only one mortality in the series. CONCLUSION: Subdural empyema secondary to sinus infection, although uncommon, it could be associated with a relative high morbidity and mortality rate. Early aggressive surgical and medical management with drainage of intracranial or sinus collections and antibiotics therapy lead to a low mortality or morbidity rate and good clinical outcome.
OBJECTIVE: To evaluate the impact, on morbidity and mortality, of aggressive surgical management of subdural empyema of sinus origin in children. METHOD: The authors conducted a retrospective review of 20 children admitted between 2000-2007 to Alder Hay Children Hospital and The Walton centre for Neurology and Neurosurgery for subdural empyema secondary to sinus infection. Clinical presentation, duration of symptoms, radiological investigations, surgical treatment and post-operative outcome were evaluated. RESULTS: Outcome was favourable in 19 cases. In four cases, there were re-accumulation requiring surgical evacuation, four patients experienced post-operative seizures but were seizure-free at follow-up. There was only one mortality in the series. CONCLUSION:Subdural empyema secondary to sinus infection, although uncommon, it could be associated with a relative high morbidity and mortality rate. Early aggressive surgical and medical management with drainage of intracranial or sinus collections and antibiotics therapy lead to a low mortality or morbidity rate and good clinical outcome.
Authors: Boris Oleinikov; Gerald Musa; Matvey I Livshitz; Maria Kolcheva; Manuel de Jesus Encarnacion Ramirez; Renat Nurmukhametov; Ibrahim E Efe Journal: Cureus Date: 2022-05-24
Authors: Saiful Azli Mat Nayan; Mohd Shafie Abdullah; Nyi Nyi Naing; Mohd Saffari Mohd Haspani; Ahmad Razali Md Ralib Journal: Malays J Med Sci Date: 2008-10