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[Subdural empyema: a rare complication of ENT infections in childhood. Two case-reports (author's transl)]
Abstract:
Two cases of subdural empyema are reported. One occurred after sinusitis, the other after otitis media. In both cases, the diagnosis was suggested by a combination of symptoms indicating infection and neurological disease, which occurred soon after treatment of an ENT infection. Diagnosis was established, either by CAT scan, or by arteriography. Treatment consisted of surgical drainage and optimal antibiotherapy. The clinical course was favorable: complete recovery took place in both cases and clinical status remains unremarkable after two years. The current literature is reviewed and the main clinical features and diagnostic tools (especially CAT scan) are recalled.
Insights
Subdural empyema, a brain infection, can occur after sinusitis or otitis media. Early diagnosis via CT scans and prompt treatment ensure full recovery.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Subdural empyema is a rare but serious complication of head and neck infections.
- Prompt diagnosis and treatment are crucial for favorable outcomes.
Observation:
- Two cases of subdural empyema are presented, one following sinusitis and the other otitis media.
- Clinical presentation included signs of infection and neurological deficits shortly after ENT infection treatment.
Findings:
- Computed tomography (CT) scans and arteriography aided in diagnosis.
- Surgical drainage combined with appropriate antibiotic therapy led to complete recovery in both patients.
Implications:
- This review highlights the importance of recognizing clinical signs suggestive of subdural empyema.
- Advanced imaging like CT scans are vital diagnostic tools for this condition.
- Effective management involves prompt surgical intervention and targeted antibiotherapy.