Surgical Treatment of Subdural Empyema : Report of Two Cases

Nakama, Hideyuki; Kudo, Chiaki; Kunimoto, Kenta; Fukaya, Ryuta; Sugiura, Kazuaki; Miyashita, Mamoru; Yokota, Akira

doi:10.7887/jcns.7.320

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2002

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Cited by 1 publication

(2 citation statements)

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“…However, continuous irrigation is only indicated for subdural empyema associated with capsule formation. 6) In the present case, there was no communication between subdural and subarachnoid spaces despite the absence of capsule formation. Therefore, we considered that continuous irrigation could be performed safely and there were no complications in our case.…”

Section: Discussioncontrasting

confidence: 41%

See 1 more Smart Citation

Fulminant Subdural Empyema Treated With a Wide Decompressive Craniectomy and Continuous Irrigation. Case Report.

Wada

Kubo

Asano

et al. 2002

Neurol. Med. Chir.(Tokyo)

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A 56-year-old male presented with fulminant subdural empyema manifesting as rhinorrhea, periorbital cellulitis, fever, convulsions, and consciousness disturbance. Neuroimaging showed pansinusitis with skull destruction and extensive subdural empyema. Decompressive craniectomy, irrigation of the empyema, and subdural drainage were performed. Endoscopic sinus surgery was performed to remove the source of infection at the same time. Streptococcus milleri was cultured from the pus. Continuous irrigation of the subdural space with saline containing gentamicin for 7 days resulted in prompt elimination of pus and debris. The patient was discharged with only a slight neurological deficit.

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Section: Discussioncontrasting

confidence: 41%

“…A safety valve system has been used to prevent high intracerebral pressure. 6) However, careful observation and setting of the drainage tubes through an appropriate craniotomy is required.…”

Section: Discussionmentioning

confidence: 99%