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"Subacute" postoperative subdural empyema

E M Post, L M Modesti

    Journal of Neurosurgery
    |November 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Subacute subdural empyemas, a rare complication after brain surgery, present insidiously at prior craniotomy sites. An inner membrane may explain their typically benign course and excellent prognosis.

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    Area of Science:

    • Neurosurgery
    • Infectious Disease

    Background:

    • Subdural empyema (SDE) is a known complication following neurosurgical procedures.
    • Limited literature exists on SDEs specifically occurring after prior surgery.

    Observation:

    • Four cases of "subacute" subdural empyemas postoperatively are presented.
    • These cases exhibited unique features: occurrence at previous craniotomy sites, prolonged symptom duration, insidious onset, and lack of systemic illness signs.

    Findings:

    • A distinct inner subdural membrane was observed, potentially limiting empyema size and isolating it from the brain.
    • This membrane is hypothesized to contribute to the mild symptoms and favorable prognosis.

    Implications:

    • These findings suggest a distinct clinical presentation and potentially better outcomes for subacute SDEs in specific postoperative contexts.

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  • Computerized tomography (CT) scans were insufficient for preoperative diagnosis in these cases, highlighting potential diagnostic challenges.