Subdural empyema: analysis of 17 recent cases and review of the literature.

Medicine
D M KaufmanN H Steigbigel

Abstract

Subdural empyema is an intracranial infection that has remained difficult to diagnose and to treat. Seventeen patients with this infection, treated between 1967 and 1974, are analyzed and compared to published series with particular regard to diagnosis using newer procedures and treatment, considering the primary focus of infection. The infection is usually located in the supratentorial spaces, is often bilateral, and results most often from para-nasal sinusitis (single most common cause), otitis, neurosurgical operative infections, and meningitis in infants. Patients suffering from subdural empyema generally present with rapid onset of depressed sensorium, seizures, focal neurological deficits, and signs of increased intracranial pressure, following a period of days to weeks characterized by headache and fever. All 17 of our patients demonstrated localizing neurological signs and 16 manifested either fever or leukocytosis. Diagnostic studies, except for cerebral arteriography, do not reliably corroborate or exclude the diagnosis. Cerebral arteriography established the diagnosis and defined the location and extent of the empyema in all of our cases. The EEG and brain scan produced frequent false-negative and/or non-localizing r...Continue Reading

Citations

Jan 1, 1985·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R G Curless
Jul 30, 1976·Neuroradiology·D M Kaufman, N E Leeds
Feb 1, 1989·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·H OkuderaK Kyoshima
Dec 6, 2005·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·M-F LutzF Lucht
Jan 11, 2003·Current Treatment Options in Neurology·John E. Greenlee
Dec 1, 1986·Electroencephalography and Clinical Neurophysiology·H W MauserC A Tulleken
Aug 1, 1989·Surgical Neurology·T FeuermanT Dubrow
Oct 1, 1984·Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i·M RusuI Băncescu
Jan 1, 1987·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·P MaertensN Krawiecki
Mar 1, 1983·The American Journal of Cardiology·M J SullivanT M Bashore
Mar 4, 2000·Surgical Neurology·R A HanelM N Linhares
Dec 1, 1992·Archives of Disease in Childhood·R SkeltonD Isaacs
Jun 1, 1986·Journal of Neurology, Neurosurgery, and Psychiatry·D LeysP Warot
Sep 1, 1987·The Journal of the Association of Physicians of India·C G SureshK V Das
Dec 1, 1993·Journal of Neurology, Neurosurgery, and Psychiatry·M Anderson
May 1, 1987·Postgraduate Medical Journal·A K Mahapatra, R Bhatia
Jan 20, 2009·Psychiatry·Adriana FederMeena Vythilingam
Oct 3, 2009·Journal of Neurosurgery. Pediatrics·Lars Widdel, Ken R Winston
Dec 1, 1979·Journal of Neurosurgery·J A LouieH W Pribram
Jun 1, 1980·Journal of Neurosurgery·M G Luken, M A Whelan
Jul 1, 1981·Journal of Neurosurgery·G BannisterS Smith
Nov 1, 1981·Journal of Neurosurgery·E M Post, L M Modesti
Nov 1, 1982·Journal of Neurosurgery·D A Herbert, J Ruskin
Jul 1, 1985·Journal of Neurosurgery·H W MauserC A Tulleken
Aug 1, 1990·The Journal of Laryngology and Otology·S Daya, S S To
Sep 1, 1984·The Journal of Laryngology and Otology·A W BlayneyR G Mitchell
Jan 1, 1987·British Journal of Neurosurgery·C P ShearmanJ C Taylor
Sep 14, 2011·Anaerobe·Sándor KörmöndiEdit Urbán
Nov 4, 2009·Journal of Shoulder and Elbow Surgery·Christopher C DodsonRussell F Warren
Dec 22, 2006·The Lancet Infectious Diseases·Melissa K Osborn, James P Steinberg
Apr 2, 2004·International Journal of Clinical Practice·K S PolyzoidisA Skevas
Aug 1, 1981·Surgical Neurology·T L HardyE S Phinney
Jan 1, 1984·Computerized Radiology : Official Journal of the Computerized Tomography Society·L A Weisberg
May 1, 1980·Current Problems in Diagnostic Radiology·M Sarwar
Apr 15, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Francesco SammartinoPierluigi Longatti
Feb 1, 1991·Australian and New Zealand Journal of Ophthalmology·B J Williams, H C Harrison
Aug 26, 2014·Journal of Medical Case Reports·Francesco MartinesFederico Sireci
May 3, 2011·Journal of Neurosurgery. Pediatrics·Sanjay GuptaJames T Rutka
Jan 1, 1986·Journal of Child Neurology·L A O'Tuama, M S Swanson
Feb 1, 1988·Journal of the Royal Army Medical Corps·P Abraham
Nov 1, 1995·The Journal of Laryngology and Otology·R L JonesA L Pahor
Oct 1, 1995·The Journal of Laryngology and Otology·B SinghT J Maharaj
Feb 1, 1988·Journal of the Royal Army Medical Corps·S P Sahi, W R Downey
Oct 1, 1982·Drug Intelligence & Clinical Pharmacy·M M Safani, D V Ehrensaft
May 1, 1981·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·M I Khan, R Chan

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