Infantile supratentorial subdural empyema managed by percutaneous aspiration: an outcome study in a Nigerian city

Sudanese Journal of Paediatrics
Okezie Obasi KanuEdamisan Temiye

Abstract

Subdural empyema (SDE), a common neurosurgical emergency in the developing countries, accounts for 15%-20% of localised paediatric intracranial infections. In regions where modern diagnostic tools are scarce and inaccessible, detection of SDE may be delayed with subsequent poor outcome. Percutaneous subdural aspiration in patients with open anterior fontanel may be the only surgical option in resource-poor regions of the world. This review focuses on the management outcome, including neurological outcome of these children. Clinical charts of children with SDE and treated by percutaneous subdural tap between February 2006 and August 2014 were reviewed. Demographic, clinical, radiological, bacteriological parameters and outcome data were analysed. Forty-five children with a mean age of 10.6 ± 6.2 months (range: 2-17 months) and followed up for a median duration of 16.4 months were included. The most frequent clinical features were enlarged head circumference, fever, focal neurologic deficits and altered level of consciousness. Diagnosis of SDE was confirmed using trans-fontanel ultrasound scan in 32 (71.1%) children, computerised tomography in 12 (26.7%) children and magnetic resonance imaging in one (2.2%) child. SDE was unilate...Continue Reading

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Aug 7, 2019·Sudanese Journal of Paediatrics·Okezie Obasi KanuEdamisan Temiye

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Aug 7, 2019·Sudanese Journal of Paediatrics·Okezie Obasi KanuEdamisan Temiye

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