Document Detail


Spectrum of intracranial subdural empyemas in a series of 45 patients: current surgical options and outcome.
MedLine Citation:
PMID:  15472424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The subject of subdural empyema (SDE) is reviewed on the basis of experience with 45 cases. METHODS: Records of 45 patients with SDE were analyzed. There were 35 males and 10 females in the series. The majority of the patients were either infants (22.2%) or in their second and third decade of life (37.8%). For supratentorial SDE, craniotomy was done in 5 cases (11.1%). In six cases (13.3%) two burr-holes and in the rest of the cases multiple burrholes were done to evacuate the empyema. Craniectomy was done in three cases (6.7%), of which two had posterior fossa SDE. All patients received appropriate preoperative and postoperative broad-spectrum antibiotics. RESULTS: There was good recovery in 35 (77.8%) patients, six patients (13.3%) had moderate disability, two patients (4.4%) had severe disability, and two (4.4%) died. Three patients who developed recollection at operation site required evacuation of residual SDE. Median follow-up was 3(1/2) years (range 4 months to 3(1/2) years). CONCLUSION: Emergent evacuation of SDE using multiple burr-holes and irrigation of the subdural cavity with saline for 24 hours results in a satisfactory outcome in cases with SDE.
Authors:
Manoj K Tewari; Rewati R Sharma; Vinod K Shiv; Santosh D Lad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  52     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-10-08     Completed Date:  2004-11-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  346-9     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Khoula Hospital, Muscat, Oman. manojktewari@hotmail.com.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Child, Preschool
Craniotomy
Empyema, Subdural / diagnosis,  pathology,  surgery*
Female
Glasgow Coma Scale
Humans
Infant
Male
Middle Aged
Neurosurgical Procedures*
Retrospective Studies
Tomography, X-Ray Computed
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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