Spectrum of intracranial subdural empyemas in a series of 45 patients: current surgical options and outcome.
Neurol India
;
2004 Sep; 52(3): 346-9
Artículo
en Inglés
| IMSEAR
| ID: sea-121385
ABSTRACT
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.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Empiema Subdural
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Tomografía Computarizada por Rayos X
/
Escala de Coma de Glasgow
/
Niño
/
Preescolar
/
Estudios Retrospectivos
Tipo de estudio:
Estudio observacional
Idioma:
Inglés
Revista:
Neurol India
Año:
2004
Tipo del documento:
Artículo
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