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Huge subdural empyema with unusual presentation in infant--case report
J Hamada1, H Ichimura, Y Ushio
1Department of Neurosurgery, Kumamoto University Medical School.
Neurologia Medico-Chirurgica
|January 1, 1993
Summary
A rare case of subdural empyema in an infant was successfully treated with burr-hole drainage and antibiotics. This condition can arise from infection spreading to a chronic subdural hematoma.
Area of Science:
- Pediatric Neurology
- Infectious Diseases
- Neurosurgery
Background:
- Subdural empyema is a serious infection in the brain.
- Chronic subdural hematomas can be predisposing factors for infection.
Observation:
- An 11-month-old boy presented with a large left hemispheric subdural empyema.
- The patient also had a contralateral chronic subdural hematoma.
Findings:
- Successful treatment was achieved through burr-hole drainage and antibiotic therapy.
- The case suggests hematogenous seeding of infection into a chronic subdural hematoma.
Implications:
- This case highlights a potential mechanism for subdural empyema development.
- Prompt diagnosis and surgical intervention are crucial for favorable outcomes in pediatric patients.