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Parafalxial empyemas (two cases)

H Erdem1, U Ozkan, M S Kemaloğlu

  • 1Dicle University Faculty of Medicine, Department of Neurosurgery, Diyarbakir, Turkey.

Zentralblatt Fur Neurochirurgie
|January 1, 1995
PubMed
Summary
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This study highlights rare cases of parafalxial subdural empyemas, a type of intracranial infection. Prompt diagnosis and surgical drainage led to successful recovery without complications.

Area of Science:

  • Neurology
  • Neurosurgery
  • Infectious Diseases

Background:

  • Intracranial infections encompass various locations within the brain.
  • Subdural empyemas are infrequent intracranial infections.
  • Parafalxial localization of subdural empyemas is exceptionally rare.

Observation:

  • Increased intracranial pressure was observed in patients treated for purulent meningitis.
  • Subsequent cranial computed tomography confirmed parafalxial empyemas.
  • These infections presented a diagnostic challenge due to their unusual location.

Findings:

  • Two cases of parafalxial empyema were successfully treated.
  • Surgical intervention involved craniotomy or burr hole for drainage.
  • Patients experienced complete recovery without any postoperative sequelae.

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Implications:

  • This case series underscores the importance of considering rare intracranial infection sites.
  • Early diagnosis and appropriate surgical management are crucial for favorable outcomes.
  • Further research into parafalxial empyemas may improve understanding and treatment strategies.