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 ORIGINAL ARTICLE
Year : 2004  |  Volume : 52  |  Issue : 3  |  Page : 346--349

Spectrum of intracranial subdural empyemas in a series of 45 patients: Current surgical options and outcome


1 Department of Neurosurgery, Khoula Hospital, Muscat, Oman
2 Department of Radiodiagnosis, Khoula Hospital, Muscat, Oman

Correspondence Address:
Manoj K Tewari
Department of Neurosurgery, P.G.I.M.E.R., Chandigarh - 160 012
Oman
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Source of Support: None, Conflict of Interest: None


PMID: 15472424

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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 3½ years (range 4 months to 3½ 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.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow