Hydrocephalus and Subdural Effusion with Extracranial Extension Complicating Meningitis

Idowu, Olufemi Emmanuel; Olumide, A. A.

doi:10.1093/tropej/fmp129

Cited by 3 publications

(2 citation statements)

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“…[13] It has also been found to be associated with meningitis,[4] the cause in present patient, and intrathecal chemotherapy. [5] The factors contributing to the development of subdural hygroma are unknown, but there is probably an underlying disturbance of normal CSF absorption or an alteration of the dynamics of CSF circulation.…”

Section: Discussionmentioning

confidence: 88%

Post meningitis subdural hygroma: Anatomical and functional evaluation with ^99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography

et al. 2013

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Subdural hygroma is the collection of cerebrospinal fluid in the subdural space. Most often these resolve spontaneously. However, in cases with neurological complications surgical drainage may be needed. We here, present the case of an 8-year-old boy with post meningitis subdural hygroma. 99mTc-ehylene cysteine dimer (99mTc-ECD) hybrid single photon emission tomography/computed tomography (SPECT/CT) carried out in this patient, demonstrated the subdural hygroma as well as the associated cerebral hypoperfusion. If 99mTc-ECD SPECT/CT is integrated into management of these patients, it can help in decision making with respect to conservative versus surgical management.

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Section: Discussionmentioning

confidence: 88%

Post meningitis subdural hygroma: Anatomical and functional evaluation with ^99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography

et al. 2013

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“…Subdural-peritoneal shunt can reduce the time of hospitalization. A low-voltage shunt is suitable for the shunt tube [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatments for Infantile Purulent Meningitis Complicated by Subdural Effusion

et al. 2015

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BackgroundInfantile purulent meningitis (PM) is a commonly severe intracranial infectious disease in infants under age 1 year. In recent years, several diagnostic and treatment methods were reported, but in these cases the neurological complications and sequel were often observed, among which subdural effusion (SE) is the most common complication in PM. Timely diagnosis and early intervention are vital for better outcomes. In this study, the surgical treatments for infantile PM complicated by SE were investigated.Material/MethodsPatients who had PM complicated by SE in the Children’s Hospital of Hebei Province from June 2000 to June 2012 were retrospectively analyzed and 170 patients were enrolled in the study. Surgical treatment for each patient was adopted according to producing effusion time, leucocyte count, protein content, intracranial pressure, and bacteria culture, coupled with cranial ultrasound examination, CT, and MRI scans.ResultsNearly, 15 patients were cured using serial taps, with a 50% cure rate. Seventeen out of 30 (56.6%) patients receiving subcutaneous reservoir drainage had better outcome. Nearly 80% of patients (55/69) who underwent minimally invasive trepanation and drainage were positive. Surgical procedure of minimally invasive trepanation and drainage combined with drug douche was effective in 63% of patients (19/30). In addition, 6 patients were cured with subdural-peritoneal shunt. Only 1 patient died, after the recurrence of meningitis, and the remaining 4 patients were cured by craniotomy.ConclusionsFor infantile PM complicated with SE, treatment needs be chosen according to the specific situation. Surgical procedure of minimally invasive trepanation and drainage is a very effective treatment in curing PM complicated by SE. The treatment was highly effective with the use of drug douche. Subdural-peritoneal shunt and craniotomy were as effective as in refractory cases.

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Spinal subdural hygroma

Sneyers

Ramboer

2021

Acta Neurol Belg

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Hydrocephalus and Subdural Effusion with Extracranial Extension Complicating Meningitis

Cited by 3 publications

References 9 publications

Post meningitis subdural hygroma: Anatomical and functional evaluation with ^99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography

Post meningitis subdural hygroma: Anatomical and functional evaluation with ^99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography

Surgical Treatments for Infantile Purulent Meningitis Complicated by Subdural Effusion

Spinal subdural hygroma

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Hydrocephalus and Subdural Effusion with Extracranial Extension Complicating Meningitis

Cited by 3 publications

References 9 publications

Post meningitis subdural hygroma: Anatomical and functional evaluation with 99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography

Post meningitis subdural hygroma: Anatomical and functional evaluation with 99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography

Surgical Treatments for Infantile Purulent Meningitis Complicated by Subdural Effusion

Spinal subdural hygroma

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Product

Resources

About

Post meningitis subdural hygroma: Anatomical and functional evaluation with ^99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography

Post meningitis subdural hygroma: Anatomical and functional evaluation with ^99m Tc-ehylene cysteine dimer single photon emission tomography/computed tomography