Subdural empyema in children

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Dattatraya MuzumdarChandrashekhar Deopujari

Abstract

Subdural empyema denotes the collection of purulent material in the subdural spaceand is commonly seen in infants and older children. In infants, the most common cause is bacterialmeningitis. In older children, sinusitis and otitis media are usually the source for subdural empyema. Theclinical symptomatology is varied and has a wide range including prolonged or recurrent fever, seizures,meningeal irritation, and raised intracranial pressure. It can mimic as well as complicate meningitis and aheightened clinical awareness is therefore paramount. The clinical profile, etiopathogenesis, imaging features and management of subdural empyema in children is discussed and the relevant literature is reviewed. Subdural empyema is a neurosurgical emergency and rapid recognition and treatment canavoid life-threatening complications. In most cases, surgical decompression through burr hole or craniotomyis warranted. Near complete evacuation of the purulent material and appropriate long-term intravenous antibiotics are necessary for a gratifying outcome.

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Citations

Aug 2, 2019·Neurosurgical Focus·Subhas KonarBhagavatula Indira Devi
Sep 26, 2019·Journal of Neurosurgery. Pediatrics·Paige LundyPaul Grabb
Nov 18, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Jason A ChenAlan R Cohen
Sep 3, 2020·Surgical Neurology International·Evalina Bond, James A Stadler
Jul 22, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Charlotte DandurandPaul Steinbok
Jan 23, 2020·Seminars in Ultrasound, CT, and MR·Ivy NguyenShan Li

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