Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Fatal Subdural Empyema Following Pyogenic Meningitis

  • Lee, Seok-Ki (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University) ;
  • Kim, Seok-Won (Department of Neurosurgery, College of Medicine, Chosun University)
  • Received : 2009.09.24
  • Accepted : 2011.02.06
  • Published : 2011.03.28
Download PDF
⟨ Previous Next ⟩

Abstract

Subdural empyema is a rare form of intracranial sepsis associated with high morbidity and mortality. The most frequent cause is extension of paranasal sinusitis through emissary veins or of mastoiditis through the mucosa, bone, and dura mater. Development of subdural empyema after pyogenic meningitis is known to be very unusual in adults. We report a rare case of fatal subdural empyema, an unusual complication of pyogenic meningitis. Our bitter experience suggests that subdural empyema should be borne in mind in patient with pyogenic meningitis who exhibit neurological deterioration.

Keywords

References

  1. Aoki N, Sakai T, Oikawa A, Takizawa T, Shishido T : Infected subdural effusion associated with resolving subdural hematoma-case report. Neurol Med Chir (Tokyo) 37 : 637-639, 1997 https://doi.org/10.2176/nmc.37.637
  2. Bannister G, Williams B, Smith S : Treatment of subdural empyema. J Neurosurg 55 : 82-88, 1981 https://doi.org/10.3171/jns.1981.55.1.0082
  3. Bok AP, Peter JC : Subdural empyema : burr holes or craniotomy? A retrospective computerized tomography-era analysis of treatment in 90 cases. J Neurosurg 78 : 574-578, 1993 https://doi.org/10.3171/jns.1993.78.4.0574
  4. Critchley G, Strachan R : Postoperative subdural empyema caused by propionibacterium acnes-a report of two cases. Br J Neurosurg 10 : 321-323, 1996 https://doi.org/10.1080/02688699650040241
  5. El-Fatih MB, Zuhair MT : Challenges in the management of intracranial subdural empyema. Neurosurg Q 13 : 198-206, 2003 https://doi.org/10.1097/00013414-200309000-00005
  6. Kim JH, Lee CH, Hwang SH, Kang DH : Superimposed propionibacterium acnes subdural empyema in a patient with chronic subdural hematoma. J Korean Neurosurg Soc 45 : 53-56, 2009 https://doi.org/10.3340/jkns.2009.45.1.53
  7. Luken MG 3rd, Whelan MA : Recent diagnostic experience with subdural empyema. J Neurosurg 52 : 764-771, 1980 https://doi.org/10.3171/jns.1980.52.6.0764
  8. Maytal J, Patel M, Apeatu S, Schneider S, Eviatar L : Subdural empyema in 12-year-old girl : the value of magnetic resonance imaging. J Neuroimaging 6 : 258-260, 1996 https://doi.org/10.1111/jon199664258
  9. Nathoo N, Nadvi SS, van Dellen JR, Gouws E : Intracranial subdural empyemas in the era of computed tomography : a review of 699 cases. Neurosurgery 44 : 529-535; discussion 535-536, 1999 https://doi.org/10.1097/00006123-199903000-00055
  10. Nathoo N, Nadvi SS, Gouws E, van Dellen JR : Craniotomy improves outcomes for cranial subdural empyemas : computed tomography-era experience with 699 patients. Neurosurgery 49 : 872-877; discussion 877-878, 2001
  11. Ouahes O, Kalamarides M, Redondo A, Berthelot JL, Bouali I, Rey A : [Subdural empyema. Apropos of 17 cases.] Neurochirurgie 41 : 319-323, 1995
  12. Pathak A, Sharma BS, Mathuriya SN, Khosla VK, Khandelwal N, Kak VK : Controversies in the management of subdural empyema. A study of 41 cases with review of literature. Acta Neurochir (Wien) 102 : 25-32, 1990 https://doi.org/10.1007/BF01402182
  13. Renaudin JW, Frazee J : Subdural empyema-importance of early diagnosis. Neurosurgery 7 : 477-479, 1980 https://doi.org/10.1227/00006123-198011000-00010
  14. Rich PM, Deasy NP, Jarosz JM : Intracranial dural empyema. Br J Radiol 73 : 1329-1336, 2000 https://doi.org/10.1259/bjr.73.876.11205681
  15. Singh B, Van Dellen J, Ramjettan S, Maharaj TJ : Sinogenic intracranial complications. J Laryngol Otol 109 : 945-950, 1995
  16. Weisberg L : Subdural empyema. Clinical and computed tomographic correlations. Arch Neurol 43 : 497-500, 1986 https://doi.org/10.1001/archneur.1986.00520050069025

Cited by

  1. Posttraumatic Intracranial Tuberculous Subdural Empyema in a Patient with Skull Fracture vol.59, pp.3, 2011, https://doi.org/10.3340/jkns.2016.59.3.310