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Controversies in the management of subdural empyema. A study of 41 cases with review of literature
- Source :
- Acta neurochirurgica. 102(1-2)
- Publication Year :
- 1990
-
Abstract
- Forty one cases of subdural empyema treated between 1977 and 1988 at the Postgraduate Institute of Medical Education and Research. Chandigarh, have been analysed. The patients ranged from 9 days to 80 years of age. There were 22 children, including 11 infants. Fever, altered sensorium and seizures were the most common symptoms present for 1 day to 6 months. Otogenic infection was the commonest aetiological factor followed by postoperative and posttraumatic causes. Thirty seven patients had supratentorial empyemas, including 4 with parafalcine collections, three had infratentorial empyemas, and in one there was extension of the empyema from the supratentorial to the infratentorial compartment. Therapeutic modalities used included percutaneous needle aspirations in infants and burr hole evacuation and craniotomies in adults. A wide spectrum of organisms was detected. Mortality in this series was 24%, which was mainly attributable to the deteriorated neurological status prior to treatment. A detailed review of the literature has been given, highlighting various controversies in the management of SDE. Important prognostic factors and a treatment plan are suggested.
- Subjects :
- Adult
Male
medicine.medical_specialty
Pediatrics
Neurology
Percutaneous
Epidural abscess
Adolescent
Eye Infections, Bacterial
Risk Factors
medicine
Humans
Child
Neuroradiology
Aged
Subdural empyema
Aged, 80 and over
Empyema, Subdural
medicine.diagnostic_test
business.industry
Infant, Newborn
Infant
Interventional radiology
Middle Aged
medicine.disease
Prognosis
Empyema
Surgery
Child, Preschool
Female
Neurology (clinical)
Neurosurgery
business
Subjects
Details
- ISSN :
- 00016268
- Volume :
- 102
- Issue :
- 1-2
- Database :
- OpenAIRE
- Journal :
- Acta neurochirurgica
- Accession number :
- edsair.doi.dedup.....7f8abaab81ccbd47e0e6d739080743a0