Subtentorial Empyema: Report of 2 Cases
Journal of Korean Neurosurgical Society
;
: 529-539, 1984.
Article
in Korean
| WPRIM
| ID: wpr-226355
ABSTRACT
Intracranial subdural empyema is a neurosurgical emergency and an unusual condition which carries a serious incidence of mortality and morbidity if untreated. The subdural empyema developes from varied sources, but paranasal sinus, the ear and the mastoid process are predominantly affected and subtentorial empyema usually originates from otogenic intracranial complication. Its manifestations are variable such as impaired consciousness, headache, hemiparesis, acute fits, pyrexia, meningism, vomiting, papilledema. ophthalmoplegia, hemianopsia and dysphasia. Subtentorial empyema has additional cerebellar dysfunction syndromes. Early accurate diagnosis and surgical drainage are the most important factors affecting the prognosis. Recently, we experienced two cases of subtentorial empyema which were very rare otogenic intracranial complications. These patients were treated with suboccipital craniectomy, but reaccumulations of empyema and subsequent cerebellar abscess in one case occurred. Finally these patients were recovered without neurologic deficits. Reviewing our two cases and the literature, we are going to describe about causes, symptoms and signs, method of diagnosis, treatment and prognosis of subtentorial empyema.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aphasia
/
Paresis
/
Prognosis
/
Empyema, Subdural
/
Vomiting
/
Cerebellar Diseases
/
Ophthalmoplegia
/
Papilledema
/
Drainage
/
Hemianopsia
Type of study:
Diagnostic study
/
Incidence study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neurosurgical Society
Year:
1984
Type:
Article
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