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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.
Abstract:
Intracranial infections can locate at anywhere in the brain. Subdural empyemas are the less common type of intracranial infections, and parafalxial localization is seen rare. Findings of intracranial pressure increase developed in a cases who were treated for purulent meningitis. Parafalxial empyemas were diagnosed in succeeding cranial computed tomography. Middle line was drained by means of craniotomy or burrhole. We reported two cases who recovered without any postoperative sequel considered the rare localization site of infection.
Insights
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.
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.