检索结果-南通市图书馆

Development of subdural empyema from subdural effusion after suppurative encephalitis:A case report

World Journal of Clinical Cases 2023年第10期11卷 2315-2320页

作者： Rui-Xi Yang Bei Chen Yun Zhang Yao Yang Shu Xie Lin He Jian Shi Department of Infectious Diseases Mianyang Central HospitalMianyang 621000Sichuan ProvinceChina Department of Psychosomatic Medicine Mianyang Central HospitalMianyang 621000Sichuan ProvinceChina Department of Psychosomatic Medicine Mianyang Central HospitalSchool of MedicineUniversity of Electronic Science and Technology of ChinaMianyang 621000Sichuan ProvinceChina

BACKGROUND Chronic subdural effusion is very common in the cranial imaging of middle-aged and older ***,we report a patient misdiagnosed with subdural effusion,who was eventually diagnosed with chronic subdural empyema(SDE)caused by Streptococcus *** SUMMARY A 63-year-old man was brought to our emergency room with a headache,vomiting,and disturbed *** tomography(CT)revealed a bilateral subdural effusion at the top left side of the frontal *** fluid examination after lumbar puncture indicated suppurative meningitis,which improved after anti-infective ***,the patient then presented with acute cognitive dysfunction and right limb *** CT showed an increase in left frontoparietal subdural effusion,disappearance of the left lateral ventricle,and a shift of the midline to the *** burr hole drainage showed SDE that was culture-positive for Streptococcus *** condition improved after adequate drainage and antibiotic *** Patients with unexplained subdural effusion,especially asymmetric subdural effusion with intracranial infection,should be assessed for chronic *** surgical treatment may be beneficial.

关键词： subdural effusion subdural empyema Streptococcus pneumoniae Meningoencephalitis Drainage Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Sinogenic subdural empyema in a Ten-Year-Old Boy with Sickle Cell Anemia

引用

Open Journal of Modern Neurosurgery 2013年第4期3卷 53-58页

作者： Ulf Nestler Daniel Memia-Zolo Nidal Salloum Mehdi Mejdoubi Francois Lengelle Raoul Santiago William Cecile Remus Stegaru Norbert Manzo Department of Neurosurgery Centre Hospitalier Universitaire of Fort de FranceFort-de-FranceFrench West Indies Department of Neurosurgery University Clinic LeipzigLeipzigGermany Department of Radiology Centre Hospitalier Universitaire of Fort de FranceFort-de-FranceFrench West Indies Department of Anesthesiology Centre Hospitalier Universitaire of Fort de FranceFort-de-FranceFrench West Indies Department of Pediatrics Centre Hospitalier Universitaire of Fort de FranceFort-de-FranceFrench West Indies Department of Oto-Rhino-Laryngology Centre Hospitalier Universitaire of Fort de FranceFort-de-FranceFrench West Indies

Objective: Sinogenic subdural empyema remains a neurosurgical emergency, even in the antibiotic era. Sickle cell disease is one of the most frequent hereditary diseases, with an incidence of around 4 in 1000 newborns, which necessitates special considerations before a neurosurgical intervention. Case Description: The case of a 10-year-old boy with sickle cell disease type HbSC is reported, who presented with meningitis about ten days after a nasal sinusitis. CT and MRI showed subdural empyema and immediate intravenous antibiotic treatment was started. The patient received partial exchange transfusion. Craniotomy allowed evacuation of empyema and repairment of a frontobasal dural defect. Endoscopic evacuation of the paranasal sinuses was done in the same anesthesia. After initial good recovery, the patient developed right sided paresis with epileptic seizures a few days later. CT scan revealed three distant empyema recurrencies which were evacuated in a second neurosurgical intervention. The child recovered without neurologic deficit, and control MRI examinations three and twelve months after surgery found frontal and parietal dural thickening as sequelae. Conclusion: Urgent neurosurgical interventions in the presence of sickle cell anemia require special anesthesiologic preparations. An immediate, multidisciplinary approach can lead to a good outcome in these life-threatening situations.

关键词： Nasal Sinusitis Sickle Cell Anemia Streptococcus Pneumoniae subdural empyema

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：