Treatment of subdural empyema by burr hole
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Tarih
1996
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Israel Journal Med Sciences
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Subdural empyema, a collection of pus in the space between the dura and arachnoid, is a rare type of intracranial infection. We report on 23 patients, aged 8 months to 70 years, with subdural empyema who were treated in our clinic between 1989 and 1994. The sources of subdural empyemas were meningitis in five patients, middle ear in five, trauma in four, paranasal sinus in three, complications of surgery and subdural tap in four, and unknown in two patients. The common presentations were headache, focal neurologic deficit, fever, vomiting, seizures, and neck stiffness. Diagnosis was achieved by computerized tomography and neurologic examinations in all cases. Treatment was effected by burr hole or small craniotomy with catheter drainage, and antibiotics were administered to all patients. The mortality rate was 8.7%; the remaining patients made a good recovery without sequelae. We therefore recommend burr hole with catheter drainage plus antibiotics as a method of treating subdural empyema.
Açıklama
Anahtar Kelimeler
Subdural Empyema, Computerized Tomography, Burr Hole, Infection
Kaynak
Israel Journal of Medical Sciences
WoS Q Değeri
N/A
Scopus Q Değeri
N/A
Cilt
32
Sayı
7
