Document Detail

Intracranial empyema: literature review and two novel cases in cats.
MedLine Citation:
PMID:  17543019     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To review the literature on intracranial empyema and report two new cases in cats. METHODS: Literature review and case reports. RESULTS: Intracranial empyema has been rarely reported in small animals. In two novel cases in cats, the route of infection was postulated to be local extension from a retrobulbar abscess of odontogenic origin in one case and direct inoculation from a penetrating bite wound to the skull, confirmed at post-mortem examination, in the other. On magnetic resonance imaging of the first case, there was a contrast-enhancing large extra-axial fluid collection overlying the right cerebral hemisphere, consistent with subdural empyema. Infection was caused by an Actinomyces spp. This is the first report of successful treatment of intracranial empyema by craniotomy, drainage and antibiotics. CLINICAL SIGNIFICANCE: Intracranial empyema is a neurosurgical emergency. Favourable outcomes may be achieved with surgical decompression, antimicrobial therapy and intensive care.
V R Barrs; R G Nicoll; R K Churcher; J A Beck; J A Beatty
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2007-06-02
Journal Detail:
Title:  The Journal of small animal practice     Volume:  48     ISSN:  0022-4510     ISO Abbreviation:  J Small Anim Pract     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-31     Completed Date:  2007-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0165053     Medline TA:  J Small Anim Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  449-54     Citation Subset:  IM    
Valentine Charlton Cat Centre, Faculty of Veterinary Science, The University of Sydney, NSW 2006, Australia.
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MeSH Terms
Anti-Bacterial Agents / therapeutic use
Cat Diseases / diagnosis*,  pathology,  therapy
Diagnosis, Differential
Drainage / veterinary
Empyema, Subdural / diagnosis,  veterinary*
Magnetic Resonance Imaging / veterinary
Reg. No./Substance:
0/Anti-Bacterial Agents

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