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Delayed post-traumatic subdural empyema.

C P Osgood, M Dujovny, E Holm

    The Journal of Trauma
    |October 1, 1975
    PubMed
    Summary
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    A subdural empyema case was treated with a frontal bone flap and infected sinus exenteration. Postoperative antibiotic instillation in the subdural space was administered for 48 hours, addressing potential anaerobic infections.

    Area of Science:

    • Neurosurgery
    • Infectious Diseases
    • Otolaryngology

    Background:

    • Subdural empyema is a serious intracranial infection often requiring surgical intervention.
    • Frontal sinus infections can be a source of intracranial pathology.
    • Prompt diagnosis and aggressive management are crucial for favorable outcomes.

    Observation:

    • A patient presented with symptoms suggestive of subdural empyema.
    • Surgical management involved a frontal bone flap approach.
    • Exenteration of the infected frontal sinus was performed concurrently.

    Findings:

    • The patient underwent successful surgical drainage and debridement.
    • Antibiotics were instilled directly into the subdural space for 48 hours postoperatively.

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  • Diagnostic findings were reviewed to assess the causative pathogens.

    • Implications:

    • This case highlights a successful treatment strategy for subdural empyema originating from frontal sinusitis.
    • Direct subdural antibiotic instillation may be a valuable adjunct in managing complex intracranial infections.
    • Further investigation into the role of anaerobic bacteria in such cases is warranted.