448 results match your criteria Epidural and Subdural Infections


Pott Puffy Tumor Caused by Dental Infection: A Case Report and Literature Review.

J Craniofac Surg 2022 Mar-Apr 01;33(2):e127-e130

Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, South Korea.

Abstract: Pott puffy tumor (PPT), first described by Sir Percivall Pott in 1760, is a rare clinical entity characterized by a subperiosteal abscess associated with osteomyelitis of the frontal bone caused by direct or hematogenous spread. Although rare in this modern age of antibiotics, this tumor usually occurs as a complication of sinusitis. Moreover, intracranial complications such as subdural abscess, meningitis, sinus thrombosis, or brain abscess can occur concomitantly with the underlying sinusitis, despite the administration of antibiotics. Read More

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Concurrent management of suppurative intracranial complications of sinusitis and acute otitis media in children.

Int J Pediatr Otorhinolaryngol 2022 May 4;156:111093. Epub 2022 Mar 4.

University College Dublin School of Medicine, Ireland; Department of Neurosurgery, Beaumont Hospital, Ireland.

Objective: Intracranial complications of sinusitis and acute otitis media (AOM) are rare but life-threatening events. In children with suppurative intracranial complications, concurrent neurosurgical and otolaryngological (ORL) intervention has been recommended to optimize outcomes. The aim of this study was to investigate outcomes following concurrent neurosurgical and ORL intervention. Read More

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Predictive factors for bone flap infection after cranioplasty.

J Clin Neurosci 2022 Apr 21;98:219-223. Epub 2022 Feb 21.

Department of Neurosurgery, International Medical Center, Saitama Medical University, Hidaka, Japan. Electronic address:

Bone flapinfection is often experienced as a complication of cranioplasty.The aim of this study was to investigate predictors of graft infection,including patient-specific and surgery-specific factors. We retrospectively reviewed cases at our institutionwho underwent cranioplasty following craniectomyfor traumatic brain injury, epidural hematoma, subdural hematoma, intracranial hemorrhage, cerebral infarction, subarachnoid hemorrhage, arteriovenous malformation, and bone flap infection after craniotomy. Read More

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Contralateral epidural hematoma after decompressive surgery: Case report and systematic literature review.

Ann Med Surg (Lond) 2022 Feb 25;74:103233. Epub 2022 Jan 25.

Neurosurgery Department, University Hospital Center IBN ROCHD, Casablanca, Morocco.

Introduction: and importance: Contralateral epidural hematoma (EDH) after decompressive surgery for acute subdural hematoma (ASDH) is uncommon. If unrecognized, this delayed hematoma can lead to devastating consequences.

Case Presentation: A 30-year-old patient with no past medical history, was brought to the emergency after a severe brain injury secondary to an aggression, Glasgow coma scale was 6 (E1V1 M4) with a left anisocoria. Read More

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February 2022

Stroke Among Patients Hospitalized With COVID-19: Results From the American Heart Association COVID-19 Cardiovascular Disease Registry.

Stroke 2022 03 27;53(3):800-807. Epub 2021 Oct 27.

Department of Neurology, Vagelos College of Physicians and Surgeons (M.S.V.E.), Columbia University, New York City, NY.

Background And Purpose: Coronavirus disease 2019 (COVID-19) may be associated with increased risk for ischemic stroke. We present prevalence and characteristics of strokes in patients with laboratory-confirmed severe acute respiratory syndrome coronavirus-2 infection enrolled in the American Heart Association COVID-19 Cardiovascular Disease Registry.

Methods: In this quality improvement registry study, we examined demographic, baseline clinical characteristics, and in-hospital outcomes among hospitalized COVID-19 patients. Read More

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Neuroradiology of infectious diseases.

Curr Opin Infect Dis 2021 06;34(3):228-237

Section of Infectious Diseases, UT Health McGovern Medical School, Houston, Texas, USA.

Purpose Of Review: Early diagnosis of central nervous system (CNS) infections is crucial given high morbidity and mortality. Neuroimaging in CNS infections is widely used to aid in the diagnosis, treatment and to assess the response to antibiotic and neurosurgical interventions.

Recent Findings: The Infectious Diseases Society of America (IDSA) guidelines have clear recommendations for obtaining a computerized tomography of the head (CTH) prior to lumbar puncture (LP) in suspected meningitis. Read More

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Cerebral Microbleeds and Intracranial Hemorrhages in Adult Patients on Extracorporeal Membrane Oxygenation-Autopsy Study.

Crit Care Explor 2021 Mar 2;3(3):e0358. Epub 2021 Mar 2.

Department of Neurology, Johns Hopkins Hospital, Baltimore, MD.

Current studies lack robust information on the prevalence and associated factors of cerebral microbleeds in patients who underwent extracorporeal membrane oxygenation.

Design: Retrospective analysis.

Setting: We reviewed patients who underwent (extracorporeal membrane oxygenation) and subsequent brain autopsy with gross and microscopic examinations from January 2009 to December 2018 from a single tertiary center. Read More

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Hyperbaric oxygen for intracranial abscess.

Undersea Hyperb Med 2021 First Quarter;48(1):97-102

Departments of Anesthesiology and Medicine, Center for Hyperbaric Medicine and Environmental Physiology, Duke University, North Carolina U.S.

The term "intracranial abscess" (ICA) includes cerebral abscess, subdural empyema, and epidural empyema, which share many diagnostic and therapeutic similarities and, frequently, very similar etiologies. Infection may occur and spread from a contiguous infection such as sinusitis, otitis, mastoiditis, or dental infection; hematogenous seeding; or cranial trauma. In view of the high morbidity and mortality of ICA and the fact that hyperbaric oxygen therapy (HBO2) is relatively non-invasive and carries a low complication rate, the risk-benefit ratio favors adjunct use of HBO2 therapy in selected patients with intracranial abscess. Read More

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Frontal Sinus Drainage in Acute Pediatric Sinusitis With Intracranial Complications.

Am J Rhinol Allergy 2021 Nov 31;35(6):732-738. Epub 2021 Jan 31.

Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: The indication for frontal sinus drainage is uncertain when managing pediatric acute sinusitis with intracranial complications.

Objective: The primary objective was to determine if addressing the frontal sinus reduced need for subsequent surgical procedures in children presenting with acute sinusitis complicated by intracranial abscess.

Methods: A case series with chart review was performed at a tertiary children's hospital between 2007 and 2019. Read More

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November 2021

Towards improved outcome in children treated surgically for spontaneous intracranial suppuration in South Wales.

Br J Neurosurg 2021 Jan 11:1-4. Epub 2021 Jan 11.

Department of Paediatric Neurosurgery, University Hospital of Wales & Noah's Ark Children's Hospital, Cardiff, UK.

Introduction: Spontaneous central nervous system (CNS) infections in children are rare. Treatment involves surgical intervention and antibiotic therapy. We describe a single centre experience of managing this condition in South Wales. Read More

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January 2021

Spinal subdural hygroma.

Acta Neurol Belg 2021 Apr 3;121(2):311-319. Epub 2021 Jan 3.

AZ Sint-Lucas Brugge, Sint-Lucaslaan 29, 8310, Bruges, Belgium.

A spinal subdural hygroma is a rare entity. In this review, we try to contribute to the pooling of current knowledge about spinal subdural hygroma, from embryology and physiology until radiological detection and treatment. The relevant articles in the literature regarding spinal subdural hygroma were reviewed, using a sensitive search strategy on Internet databases. Read More

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The Risk of Spread of Infection During Craniotomy/Craniostomy on Patients with Active Coronavirus Disease 2019 (COVID-19) Infection: Myth or Fact?

World Neurosurg 2021 03 14;147:e272-e274. Epub 2020 Dec 14.

Department of Neurosurgery, PGIMER, Chandigarh, India.

Objectives: Craniotomies/craniostomies have been categorized as aerosol-generating procedures and are presumed to spread coronavirus disease 2019 (COVID-19). However, the presence of severe acute respiratory distress syndrome coronavirus 2 virus in the generated bone dust has never been proved. Our objective is to evaluate the presence of virus in the bone dust (aerosol) generated during emergency neurosurgical procedures performed on patients with active COVID-19. Read More

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Advantages of using a prophylactic epidural closed drain and non-watertight dura suture in a craniotomy near the "parietal site".

Chin Neurosurg J 2020 5;6:34. Epub 2020 Oct 5.

Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 119 South 4th Ring West Road, Fengtai District, Beijing, 100070 China.

Background: In neurosurgery, the necessity of having a drainage tube is controversial. Subgaleal fluid collection (SFC) often occurs, especially in a craniotomy near the "parietal site".This study aimed to reassess the benefit of using a prophylactic epidural drainage (ED) and non-watertight dura suture in a craniotomy near the parietal site. Read More

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October 2020

Suppurative Intracranial Complications of Pediatric Sinusitis: A Single-Center Experience.

J Pediatric Infect Dis Soc 2021 Apr;10(3):309-316

Center for Data Driven Discovery in Biomedicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Background: Suppurative intracranial complications of sinusitis are rare events in children and can lead to harmful neurologic sequelae and significant morbidity. We sought to review the presentation and management of patients admitted at our hospital with these conditions.

Methods: This was a retrospective study of pediatric patients admitted to a quaternary children's hospital from 2007 to 2019 for operative management of sinusitis with intracranial extension. Read More

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Efficacy of high-dose versus low-dose vitamin D supplementation on serum levels of inflammatory factors and mortality rate in severe traumatic brain injury patients: study protocol for a randomized placebo-controlled trial.

Trials 2020 Jul 29;21(1):685. Epub 2020 Jul 29.

Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Traumatic brain injury (TBI) is the most common trauma worldwide and is a leading cause of injury-related death and disability. Inflammation is initiated as a result of the TBI, which is in association with severity of illness and mortality in brain trauma patients, especially in subdural hemorrhage and epidural hemorrhage cases. A high percentage of adults admitted to the intensive care unit with TBI are diagnosed with vitamin D deficiency; this deficiency may induce impaired immune responses and increase the risk of infections. Read More

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Immediate replacement of bone flap after craniotomy for empyema in children.

Childs Nerv Syst 2021 02 20;37(2):475-479. Epub 2020 Jul 20.

Division of Neurosurgery, BC Children's Hospital, University of British Columbia, Vancouver, Canada.

Purpose: Optimal management of the bone flap after craniotomy for intracranial infection has not been well defined in the pediatric population. This study reviewed the outcomes of a single Canadian center where immediate replacement of the bone flap was standard practice.

Methods: This is a retrospective study of all patients who underwent craniotomies for evacuation of epidural or subdural empyema at a single center from 1982 to 2018. Read More

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February 2021

[Acute mastoiditis with intracranial complication in a pediatric patient].

Arch Argent Pediatr 2020 04;118(2):e166-e169

Unidad de Infectología Pediátrica, Hospital Infantil Miguel Servet, Zaragoza, España.

Acute mastoiditis is an infection that affects the mastoid air-cell system, usually due to the progression of an acute otitis media. The bacteria most frequently isolated in acute mastoiditis are Streptococcus pneumoniae, Streptococcus pyogenes and Staphylococcus aureus. The mastoid infection can extend affecting contiguous structures and producing intra or extracranial complications. Read More

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Treatment of CSF leakage and infections of dural substitute in decompressive craniectomy using fascia lata implants and related anatomopathological findings.

Br J Neurosurg 2021 Feb 6;35(1):18-21. Epub 2020 Mar 6.

Department of Neurosurgery, San Giovanni-Addolorata Hospital, Rome, Italy.

Purpose: Decompressive craniectomy (DC) is widely used to treat raised intracranial pressure (ICP) in cranial trauma and stroke. It is accompanied by numerous complications. The aim of our study is to assess the surgical treatment of infections related to the use of a dural substitute with concurrent CSF leakage performed at our institution. Read More

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February 2021

Neuronavigation-Guided Endoscopic Endonasal Drainage of Pediatric Anterior Cranial Base Epidural and Subdural Empyema.

Pediatr Neurosurg 2020 21;55(1):67-71. Epub 2020 Jan 21.

Pediatric Neurosurgery Service, Department of Surgery, Sainte-Justine University Hospital Center, Montreal University, Montreal, Québec, Canada,

In children, epidural and/or subdural intracranial empyema can complicate frontal sinusitis or pansinusitis. The standard transcranial approach used to treat epidural or subdural empyema has many drawbacks, but these can be avoided with an endoscopic expanded endonasal approach (EEA). To support the feasibility and advantages of this approach, we report the successful drainage through endoscopic EEA of a bifrontal empyema caused by an intracranial extension of pansinusitis. Read More

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November 2020

Intracranial complications of pediatric rhinosinusitis: Identifying risk factors and interventions affecting length of hospitalization.

Int J Pediatr Otorhinolaryngol 2020 Apr 19;131:109841. Epub 2019 Dec 19.

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA; Department of Otolaryngology-Head and Neck Surgery, Saint Barnabas Medical Center, Livingston, NJ, USA.

Objective: To identify risk factors and interventions affecting length of hospitalization (LOH) and clinical outcome in children with intracranial complications of rhinosinusitis.

Methods: Retrospective chart review of 12 children hospitalized at 2 academic medical centers for intracranial complications of rhinosinusitis over the past 5 years.

Results: 12 patients were identified with an average age at presentation of 13 years old. Read More

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Spinal Epidural Hematoma Post Evacuation of Spontaneous Spinal Intradural Hematoma.

World Neurosurg 2020 Mar 28;135:160-164. Epub 2019 Nov 28.

Department of Spine Service, Indian Spinal Injuries Center, Vasant Kunj, New Delhi, India.

Background: Spinal hematomas are rarely associated with dengue syndrome and usually occur at the time of active dengue fever. Late presentation after recovery from dengue fever, intradural hematoma, presentation as a multiloculated cystic lesion with longitudinal extensive myelitis, and recurrence after surgery are rarely or not described. Due to the peculiar association of all these findings, we report this case to provide insight into the existence of such a rare presentation. Read More

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Complications of Otitis Media and Sinusitis Caused by Streptococcus anginosus Group Organisms in Children.

Pediatr Infect Dis J 2020 02;39(2):108-113

From the Department of Pediatrics, Section of Infectious Diseases.

Background: The Streptococcus anginosus group (SAG, S. anginosus, S. intermedius and S. Read More

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February 2020

Successful surgical management of an Escherichia coli epidural-subdural abscess secondary to sino-rhinotomy.

J Vet Emerg Crit Care (San Antonio) 2019 Nov 22;29(6):696-701. Epub 2019 Oct 22.

Small Animal Teaching Hospital, University of Liverpool, Neston, UK.

Objective: To describe a case of successful management of epidural-subdural abscess and severe meningitis with secondary brain herniation in a dog.

Case Summary: A rhino-sinusotomy was performed in a 3-year-old mixed-breed dog for management of refractory sinonasal aspergillosis. Initial recovery was good, but the dog became acutely stuporous 36 hours after surgery. Read More

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November 2019

Excision and Primary Reanastomosis of the Anterior Inferior Cerebellar Artery for Treatment of a Ruptured Mycotic Aneurysm: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2020 07;19(1):E58-E59

Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona.

Anterior inferior cerebellar artery (AICA) aneurysms are rare lesions with a predisposition for distal location and non-saccular morphology.1,2 These aneurysms are less amenable to clipping and may instead require aneurysm trapping with bypass.3 This video reports a novel bypass for a ruptured, fusiform distal AICA aneurysm. Read More

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Intracranial subdural empyemas and epidural abscesses in children

J Neurosurg Pediatr 2019 07 22;24(1):14-21. Epub 2019 Mar 22.

1Department of Neurological Surgery, University of Kansas, Kansas City, Kansas; and.

Objective: The authors conducted a retrospective analysis of a consecutive series of children with intracranial subdural empyemas (SEs) and epidural abscesses (EAs) to highlight the important clinical difference between these two entities. They describe the delays and pitfalls in achieving accurate diagnoses and make treatment recommendations based on clinical and imaging findings.

Methods: They reviewed their experience with children who had presented with intracranial SE and/or EA in the period from January 2013 to May 2018. Read More

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Dural Reconstruction Using Laparoscopic Gastro-omental Free Flap in Refractory Cranial Infections.

Ann Plast Surg 2020 01;84(1):62-67

Departments of Plastic and Reconstructive Surgery.

Background: Epidural abscesses and subdural empyema after craniotomy are potentially lethal complications in neurosurgery. Patients with recalcitrant cranial wound infections may be difficult to manage, and dural reconstruction in these patients is challenging.

Methods: A total of 14 patients presented with recurrent intracranial infection after craniotomy. Read More

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January 2020

Symptomatic posterior fossa and supratentorial subdural hygromas as a rare complication following transarticular screw fixation with posterior wiring for atlantoaxial instability: A case report.

Medicine (Baltimore) 2019 Jul;98(28):e14847

Department of Neurosurgery, Baylor College of Medicine, TX.

Rationale: Atlantoaxial transarticular screw fixation has been an effective and appealing method for inducing fusion of the C1-C2 complex. This technique is usually performed with Gallie fusion. In performing Gallie fusion using sublaminar wiring, a major concern is the risk of dural tear associated with passing sublaminar wires through the epidural space. Read More

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HIV, Tuberculosis, and Otogenic Intracranial Sepsis: A Devastating Disease With a Subtle Presentation.

Otol Neurotol 2019 08;40(7):e704-e712

Department of Ear, Nose, and Throat, NHS Foundation Trust, University Hospitals of Leicester, Leicester, UK.

Objectives: To undertake a large-scale review of otogenic intracranial sepsis in an area of highly prevalent HIV and tuberculosis (TB) to re-examine and inform early diagnosis and treatment efforts.

Methods: Seventy-seven consecutive cases of otogenic intracranial sepsis in KwaZulu-Natal, South Africa were reviewed for demographics, presentation, imaging, HIV status, culture results, and outcomes.

Results: The most common intracranial complications were intracranial abscess (46. Read More

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