Medknow Publications on behalf of the Neurological Society of India
Vol. 52, No. 3, 2004, pp. 346-349
Bioline Code: ni04113
Full paper language: English
Document type: Research Article
Document available free of charge
Neurology India, Vol. 52, No. 3, 2004, pp. 346-349
© Copyright 2004 Neurology India.
Spectrum of intracranial subdural empyemas in a series of 45 patients: Current surgical options and outcome|
Tewari ManojK, Sharma RewatiR, Shiv VinodK, Lad SantoshD
The subject of subdural empyema (SDE) is reviewed on the basis of experience with 45 cases.
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.
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 3½ years (range 4 months to 3½ years).
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.
Subdural hemorrhage, surgery, burr hole, treatment outcome
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