Primary Intracranial Subdural Empyema: Case Report.
- Author:
Kyeong Seok LEE
1
;
Yong Tae KIM
;
Il Kyu YOON
Author Information
1. Department of Neurosurgery, Soonchunhyang University, Chunan Hospital, Chunan, Korea.
- Publication Type:Original Article
- Keywords:
Primary intracranial subdural empyema;
Clinical presentation;
CT brain scan
- MeSH:
Angiography;
Brain;
Consciousness;
Craniotomy;
Drainage;
Empyema, Subdural*;
Female;
Fever;
Headache;
Humans;
Male;
Neck;
Osteomyelitis;
Seizures;
Suppuration
- From:Journal of Korean Neurosurgical Society
1986;15(4):825-832
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Two cases of primary intracranial subdural empyema are reported. One is 15 yr-old male and the other is 14 yr-old female. Clinical presentation was high fever, severe headache, impaired consciousness, marked neck stiffness and periorbital swelling in both cases. Since CT brain scan with contract enhancement clearly demonstrated the lesion, angiography was not performed. In one case, craniotomy was done with drainage of pus and thorough irrigation. He died on the 9th postoperative day after generalized covulsive seizure. In the other case, craniectomy was taken. She received additional two craniectomies due to reaccumulation of pus and osteomyelitis, and discharged without major disability on the 64th hospital day. Related reports were briefly reviewed.
