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[Acute subdural empyema due to peptostreptococcus].
No to Shinkei = Brain and Nerve
|August 1, 1991
Summary
A rare case of acute subdural empyema caused by Peptostreptococcus in an 11-year-old girl required two surgeries. Prompt otorhinolaryngologic consultation is crucial to prevent recurrence.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Acute subdural empyema is a rare but serious intracranial infection.
- Peptostreptococcus, an anaerobic bacterium, can cause severe infections when abnormally localized.
Observation:
- An 11-year-old girl presented with fever, unconsciousness, and hemiparesis due to acute subdural empyema.
- Initial craniotomy and drainage revealed Peptostreptococcus; however, a recurrence necessitated a second surgery.
- Concurrent frontal sinusitis was identified and treated, highlighting the importance of addressing associated otorhinologic lesions.
Findings:
- Successful surgical evacuation of subdural empyema and treatment of associated frontal sinusitis led to complete neurological recovery.
- Peptostreptococcus, a common microflora, can be a significant pathogen in subdural empyema.
Implications:
- This case underscores the importance of comprehensive surgical management for subdural empyema, including addressing underlying causes like sinusitis.
- Early otorhinolaryngologic consultation and intervention are critical to prevent recurrence and improve patient outcomes.
- The controversy in surgical approaches (burr hole vs. craniotomy) highlights the need for tailored treatment strategies.