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Published on: June 18, 2021
[A case of infected subdural hematoma]
Toshihiro Otsuka1, Naoki Kato, Ikki Kajiwara
1Department of Neurosurgery, Jikei University School of Medicine, Kashiwa Hospital, Japan. otsuka@jikei.ac.jp
A rare case of infected subdural hematoma in an elderly male presented with seizures. Prompt diagnosis and surgical drainage were crucial for managing this life-threatening condition.
Area of Science:
- Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Elderly patients are susceptible to subdural hematomas, often presenting with non-specific symptoms.
- Infection of subdural hematomas is an uncommon but severe complication.
Observation:
- An 87-year-old male presented with generalized convulsions and loss of consciousness.
- Initial assessment revealed no signs of infection, but a computed tomography scan suggested a left chronic subdural hematoma.
Findings:
- Surgical drainage via burr hole unexpectedly revealed an abscess within the subdural space, indicating an infected subdural hematoma.
- Cultures confirmed bacterial infection, necessitating targeted antibiotic therapy.
Implications:
- This case highlights the importance of considering infection in subdural hematomas, even with initially negative infectious workups.
- Early diagnosis and appropriate management, including surgical intervention and antibiotics, are critical for favorable outcomes in infected subdural hematomas.
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