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Posterior fossa subdural empyema in the term neonate
Y Tanaka1, S Kobayashi, A Yokoh
1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
Summary
A case of neonatal meningitis led to a posterior fossa subdural empyema. Treatment with ventricular drainage and antibiotics resulted in the empyema
Area of Science:
- Neonatal neurology
- Pediatric neurosurgery
- Infectious diseases
Background:
- Neonatal meningitis can lead to serious complications.
- Posterior fossa subdural empyema is a rare but severe consequence.
- Early diagnosis and intervention are crucial for favorable outcomes.
Observation:
- A newborn presented with symptoms suggestive of complications post-meningitis.
- Initial computerized tomography (CT) revealed obstructive hydrocephalus and cerebellar swelling.
- A subsequent CT scan identified a loculated subdural empyema in the retrocerebellar space.
Findings:
- Ventricular drainage effectively managed the obstructive hydrocephalus.
- Intravenous antibiotic therapy was initiated.
- Serial CT scans demonstrated a significant reduction in the size of the subdural empyema.
Implications:
- This case highlights the importance of vigilant monitoring for subdural empyema in neonates with meningitis.
- Prompt surgical and medical management can lead to favorable resolution.
- Further research into optimal treatment strategies for neonatal subdural empyema is warranted.