Dattatraya Muzumdar1, Naresh Biyani2, Chandrashekhar Deopujari2. 1. Department of Neurosurgery, King Edward VII Memorial hospital, Parel, Mumbai, 400012, India. dmuzumdar@hotmail.com. 2. Department of Pediatric Neurosurgery, Bai Jerbai Wadia hospital for Children, Parel, Mumbai, India.
Abstract
BACKGROUND: Subdural empyema denotes the collection of purulent material in the subdural spaceand is commonly seen in infants and older children. In infants, the most common cause is bacterialmeningitis. In older children, sinusitis and otitis media are usually the source for subdural empyema. Theclinical symptomatology is varied and has a wide range including prolonged or recurrent fever, seizures,meningeal irritation, and raised intracranial pressure. It can mimic as well as complicate meningitis and aheightened clinical awareness is therefore paramount. AIMS AND OBJECTIVES: The clinical profile, etiopathogenesis, imaging features and management of subdural empyema in children is discussed and the relevant literature is reviewed. CONCLUSION: Subdural empyema is a neurosurgical emergency and rapid recognition and treatment canavoid life-threatening complications. In most cases, surgical decompression through burr hole or craniotomyis warranted. Near complete evacuation of the purulent material and appropriate long-term intravenous antibiotics are necessary for a gratifying outcome.
BACKGROUND:Subdural empyema denotes the collection of purulent material in the subdural spaceand is commonly seen in infants and older children. In infants, the most common cause is bacterialmeningitis. In older children, sinusitis and otitis media are usually the source for subdural empyema. Theclinical symptomatology is varied and has a wide range including prolonged or recurrent fever, seizures,meningeal irritation, and raised intracranial pressure. It can mimic as well as complicate meningitis and aheightened clinical awareness is therefore paramount. AIMS AND OBJECTIVES: The clinical profile, etiopathogenesis, imaging features and management of subdural empyema in children is discussed and the relevant literature is reviewed. CONCLUSION:Subdural empyema is a neurosurgical emergency and rapid recognition and treatment canavoid life-threatening complications. In most cases, surgical decompression through burr hole or craniotomyis warranted. Near complete evacuation of the purulent material and appropriate long-term intravenous antibiotics are necessary for a gratifying outcome.
Authors: Fanny A Aldinger; Ehab Shiban; Jens Gempt; Bernhard Meyer; Jürgen Kreutzer; Sandro M Krieg Journal: Acta Neurochir (Wien) Date: 2012-12-21 Impact factor: 2.216
Authors: Franziska Niklewski; Athanasios K Petridis; Jasmin Al Hourani; Klaus Blaeser; Georgios Ntoulias; Andrej Bitter; Thorsten Rosenbaum; Martin Scholz Journal: J Surg Case Rep Date: 2013-08-29