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Published on: August 30, 2020
[Interhemispheric subdural empyema]
Abstract:
Six cases of interhemispheric subdural empyema are reported. It is a rare disease due to different infections origins. All of them are under 24 years old. The characteristics symptoms of these cases were intracranial infection, increased ICP, cerebral falx syndrome and focal seizure. The specific appearances on the films of angiography and CT scan were discussed. It could be located these lesions exactly. The surgical treatments were continuous drainage though cranial burr hole or excision of abscess. All 6 cases are cured with no recurrence.
Insights
Interhemispheric subdural empyema is a rare intracranial infection presenting with increased ICP and focal seizures. Surgical drainage via burr hole or excision led to complete recovery in all six young patients.
Area of Science:
- Neurology
- Neurosurgery
- Infectious Diseases
Background:
- Interhemispheric subdural empyema is an uncommon and potentially severe intracranial infection.
- This condition can arise from various infectious sources and primarily affects younger individuals.
Purpose of the Study:
- To report on six cases of interhemispheric subdural empyema.
- To describe the characteristic clinical symptoms and diagnostic imaging findings.
- To evaluate the efficacy of surgical treatment and patient outcomes.
Main Methods:
- Case series reporting on six patients under 24 years old.
- Clinical presentation, including intracranial infection, increased intracranial pressure (ICP), cerebral falx syndrome, and focal seizures, was documented.
- Diagnostic imaging utilized included angiography and computed tomography (CT) scans.
- Surgical interventions involved continuous drainage via cranial burr hole or abscess excision.
Main Results:
- Patients presented with characteristic symptoms of intracranial infection, elevated ICP, cerebral falx syndrome, and focal seizures.
- Angiography and CT scans accurately localized the subdural empyema lesions.
- All six patients underwent successful surgical treatment.
- No recurrence of the empyema was observed post-treatment.
Conclusions:
- Interhemispheric subdural empyema, though rare, is manageable with prompt diagnosis and surgical intervention.
- Accurate localization using imaging modalities is crucial for effective treatment.
- Surgical drainage or excision offers a high success rate with no recurrence.
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