Subdural empyema is a type of intracranial infection characterized by a suppurative collection between the dura mater and arachnoid mater. It is commonly seen as a complication of sinusitis , otitis , mastoiditis , or surgical intervention. Clinical presentation depends to some degree on the etiology. When empyemas result from sinusitis or mastoiditis they are often associated with seizures, focal neurological deficits and rapid deterioration of consciousness, progressing from obtundation to coma 1. Empyemas that occur secondary to prior trauma or surgery are usually more clinically indolent.
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All works go through a rigorous selection process. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Twenty-one-year-old male patient with right-sided hemicrania continua headache, fever and purulent rhinorrhea presented with a diagnosis of right maxillary sinusitis that remains unresponsive to antibiotic therapy.
The patient was re-evaluated more than 10 days after showing these symptoms, and one craniofacial TC scan with contrast was conducted that confirmed right pansinusal involvement and one extense extra-axial subdural frontoparietal ipsilateral collection that was consistent with empyema Fig.
Urgent neurosurgery was performed with evacuation of the subdural suppurated collection. After reviewing the CT scan, one round unilocular lesion was seen with well-established edges inside the right maxillary sinus and associated with piece 16 and consistent with a complex periapical cyst Fig. After identifying the primary focus of infection, one exodontia procedure was performed resulting in abundant pus and curettage of the sinus with favorable clinical progression.
Cranial CT scan with contrast axial slice. Right subdural hypodense extra-axial collection with peripheral enhancement and mass effect. Craniofacial CT scan coronal slice 2A and axial slice 2B. Invasion of right maxillary sinus including cystic lesion suggestive of periapical cyst arrow. Ipsilateral frontal pneumocephalus. Med Intens. ISSN: Previous article Next article. Issue 8. Pages ee22 November Images in Intensive Medicine.
Subdural empyema as a complication of odontogenic maxillary sinusitis. Download PDF. Corresponding author. This item has received. Article information. Figure 1. Figure 2. Subscribe to our newsletter. See more. Recommended articles. Traumatic lung Spontaneous acute subdural hematoma. An unusual Instructions for authors Submit an article Ethics in publishing. Massive subcutaneous emphysema after thoracic trauma in a patient with pulmonary bullae.
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Subdural empyema surgery
Empiema Subdural Agudo. Empiema Subdural Subagudo. Empiema Subdural de la Infancia. La historia pasada de una meningitis es de signi-ficancia particular. Las colecciones de pus se ven generalmente en las convexidades, menos corriente, las parafalinas lucencis son notadas. El manejo del Empiema Subdural es operatorio. Lo que debe intentarse es un buen cierre dural.
All works go through a rigorous selection process. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published. Read more. SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal's impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
Intracranial Epidural Abscess and Subdural Empyema
Patient Information. Historical Perspective. Differentiating Subdural empyema from other Diseases. Epidemiology and Demographics. Risk Factors. Natural History, Complications and Prognosis. History and Symptoms.