1,225 results match your criteria Subdural Empyema


Giant chronic calcified subdural empyema: a case report.

J Med Case Rep 2020 Jul 11;14(1):95. Epub 2020 Jul 11.

Department of Surgery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Chronic calcified subdural empyema is an exceedingly rare central nervous system infection with a handful of cases published to date. Reported cases presented with nonspecific clinical signs and symptoms. The duration between the initial onset of symptoms and diagnosis can vary drastically from a few years to up to 46 years. Read More

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http://dx.doi.org/10.1186/s13256-020-02429-2DOI Listing

Combined microsurgical fluorescence for optimizing resection in refractory empyema and cerebritis.

Childs Nerv Syst 2020 Jun 29. Epub 2020 Jun 29.

Department of Neurosurgery, University Hospital Vírgen del Rocío, Sevilla, Sevilla, Spain.

Purpose: Due to the generalization of new microsurgical equipment, intraoperative fluorescence techniques have extended in neurosurgical practice, mainly in neurovascular and neuro-oncology patients. The aim of identifying pathological tissue and also differentiating from the normal brain helps neurosurgeons to approach other kinds of intracranial entities such as infections.

Methods: It is described in the case of an 11-year-old patient who underwent a subdural empyema by performing a craniotomy and evacuation of the purulent collection. Read More

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http://dx.doi.org/10.1007/s00381-020-04762-9DOI Listing

Chronic subdural hematoma-incidence, complications, and financial impact.

Acta Neurochir (Wien) 2020 Jun 10. Epub 2020 Jun 10.

Department of Neurosurgery, Tampere University Hospital and Tampere University, Tampere, Finland.

Objective: To examine the population-based incidence, complications, and total, direct hospital costs of chronic subdural hematoma (CSDH) treatment in a neurosurgical clinic during a 26-year period. The aim was also to estimate the necessity of planned postoperative follow-up computed tomography (CT).

Methods: A retrospective cohort (1990-2015) of adult patients living in Pirkanmaa, Finland, with a CSDH was identified using ICD codes and verified by medical records (n = 1148, median age = 76 years, men = 65%). Read More

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http://dx.doi.org/10.1007/s00701-020-04398-3DOI Listing
June 2020
1.788 Impact Factor

subsp. meningitis, septicemia and subdural empyema in a child.

IDCases 2020 14;21:e00808. Epub 2020 May 14.

Department of Paediatrics and Adolescent Health, Mater Dei Hospital, Triq id-Donaturitad-Demm, MSD2090 Tal-Qroqq, Malta.

subsp. is a group C β-hemolytic streptococcus, and is an invasive pathogen with a very restricted host, causing the equine infection known as 'strangles'. It is a poor colonizer in horses, preferentially causing invasion and infection, compared with its ancestor subsp. Read More

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http://dx.doi.org/10.1016/j.idcr.2020.e00808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256365PMC

Unusual subdural empyema in a homeless patient diagnosed by molecular approach: a case report.

BMC Infect Dis 2020 May 19;20(1):357. Epub 2020 May 19.

Sorbonne Université, Institut National de la Santé et de la Recherche Médicale (INSERM), Institut Pierre-Louis d'Epidémiologie et de Santé Publique, Paris, France.

Background: We report a case of subdural empyema in a homeless patient caused by Bartonella quintana. B. quintana is a facultative intracellular bacteria for which bacterial growth is fastidious. Read More

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http://dx.doi.org/10.1186/s12879-020-05088-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7236200PMC

New perspectives in the endoscopic treatment of brain purulent collections: targets, techniques, results in a case series, and overview of the literature.

Acta Neurochir (Wien) 2020 May 2. Epub 2020 May 2.

Department of Neurosciences, University of Padova, Padua, Italy.

Background: Purulent intracranial infections are threatening conditions. Different surgical approaches have been described, respecting the rationale of evacuating the fluid component of the purulent collection. Emerging evidence supports the use of the endoscope for the treatment of cerebral abscesses and subdural empyemas; especially the peculiarities of flexible endoscopes could potentially offer a more effective and conclusive management as compared with the drainage through catheters. Read More

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http://dx.doi.org/10.1007/s00701-020-04301-0DOI Listing
May 2020
1.788 Impact Factor

Morphological characteristics of infected subdural hematoma: Comparison with images of chronic subdural hematoma.

Clin Neurol Neurosurg 2020 Jul 8;194:105831. Epub 2020 Apr 8.

Department of Neurosurgery, Ishikawa Prefectural Central Hospital, Kanazawa, Japan.

Objectives: Infected subdural hematoma (ISH) is a rare type of subdural empyema, with fewer than 50 cases reported to date. Its radiological features have not been adequately described, making diagnosis challenging. At our institution, two adults presented with ISH, which exhibited a characteristic shape on preoperative imaging. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105831DOI Listing

Complications of sinusitis: An 80-case series from the ENT and neurosurgery departments of the Fann university hospital center of Dakar, Senegal.

Eur Ann Otorhinolaryngol Head Neck Dis 2020 Apr 9. Epub 2020 Apr 9.

Université de Thies, Thies, Senegal.

Introduction: Locoregional complications of sinusitis are dominated by oculo-orbital and/or cranioencephalic manifestations that may be life-threatening or jeopardize functional prognosis. The aim of this study was to report epidemiological, diagnostic and therapeutic aspects.

Materials And Methods: A retrospective study included inpatients managed for sinusitis complications in the ENT and neurosurgery departments of the Fann university hospital center in Dakar, Senegal between January 1, 2005 and December 31, 2016. Read More

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http://dx.doi.org/10.1016/j.anorl.2020.03.014DOI Listing

A Rare Case of Species Subdural Empyema and Brain Abscess in an Adult Patient with Hematologic Malignancy.

Asian J Neurosurg 2020 Jan-Mar;15(1):245-246. Epub 2020 Feb 25.

Department of Neurosurgery, Asclepeion General Hospital of Athens, Voula, Athens, Greece.

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http://dx.doi.org/10.4103/ajns.AJNS_373_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057897PMC
February 2020

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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http://dx.doi.org/10.1159/000503055DOI Listing
January 2020
0.497 Impact Factor

Primary Infectious Mononucleosis Masquerading as Post-operative Fever in a Young Patient with Cemento-ossifying Fibroma of the Skull Base.

Cureus 2019 Dec 8;11(12):e6327. Epub 2019 Dec 8.

Neurosurgery, Neurological Institute, Cleveland Clinic - Taussig Cancer Center, Cleveland, USA.

The typical presentation of infectious mononucleosis (IM) is characterized by a triad of fever, pharyngitis, and lymphadenopathy. Epstein-Barr virus (EBV) is the most common etiologic agent for IM. Humans are the reservoir for EBV, and it is transmitted via intimate contact between individuals. Read More

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http://dx.doi.org/10.7759/cureus.6327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948092PMC
December 2019

Subdural empyema complicated after trepanation and drainage of chronic subdural hematoma: A case report.

Medicine (Baltimore) 2019 Dec;98(52):e18587

Department of Neurotraumatic Surgery, The First Hospital of Jilin University.

Rationale: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical diseases. However, complicated subdural empyema rarely occurs after trepanation and drainage of chronic subdural hematoma.

Patient Concerns: A male patient (77 years old) was admitted to the hospital on the 2nd day of fever after an undergoing a "trepanation and drainage of chronic subdural hematoma" operation at a local hospital. Read More

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http://dx.doi.org/10.1097/MD.0000000000018587DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946330PMC
December 2019

Linezolid for the treatment of postneurosurgical infection caused by methicillin-resistant .

Surg Neurol Int 2019 8;10:215. Epub 2019 Nov 8.

Departments of Neurosurgery, Traumatology and Severe Burns Center, Faculty of Medicine of Tunis, Uninversity of Tunis El Manar, Tunisia.

Background: Postneurosurgical infection (PNSI) is a major problem. Linezolid is a bacteriostatic oxazolidinone antibiotic with a highly activity against Gram-positive cocci resistant to methicillin and a good cerebrospinal fluid penetration. The purpose of this study is to evaluate the efficacy of linezolid in the treatment of PNSI caused by methicillin-resistant (MRS). Read More

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http://dx.doi.org/10.25259/SNI_455_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884953PMC
November 2019

Subdural Empyema in an Immunocompetent Active Duty Soldier: A Case Report.

Mil Med 2019 Dec 2. Epub 2019 Dec 2.

Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234.

Intracranial subdural empyema is a rare clinical entity with incidence estimates of 0.1 per 100,000 people. The condition is most often the sequela of a primary infection elsewhere and carries a high morbidity and mortality. Read More

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http://dx.doi.org/10.1093/milmed/usz428DOI Listing
December 2019

Parafalcine subdural empyema: The unresolved controversy over the need for surgical treatment.

Surg Neurol Int 2019 18;10:203. Epub 2019 Oct 18.

Department of Neurosurgery, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain.

Background: Parafalcine subdural empyema (SDE) is a rare entity consisting of pus accumulating below the longitudinal sinus, between the falx cerebri and the arachnoid layer covering the medial surface of the cerebral hemisphere. Its treatment strategy is controversial, but most clinicians have the general belief that appropriate treatment consists of prompt surgery combined with long-term antibiotic therapy. Nevertheless, six reports published in the 1980s provided evidence that antibiotic therapy alone is a safe and suitable option. Read More

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http://dx.doi.org/10.25259/SNI_392_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826320PMC
October 2019

Neonatal Meningitis and Subdural Empyema Caused by an Unusual Pathogen.

Pediatr Infect Dis J 2019 12;38(12):e329-e331

From the Department of Neonatology, Leiden University Medical Center, Leiden, The Netherlands.

We report a case of neonatal meningitis with subdural empyema, caused by Ureaplasma parvum. In this case, diagnosis was made by genus-specific polymerase chain reaction, after regularly used diagnostic techniques failed. This unusual pathogen should be considered in cases that do not respond to therapy and/or where cultures for typical pathogens in neonatal sepsis and meningitis remain negative. Read More

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http://dx.doi.org/10.1097/INF.0000000000002482DOI Listing
December 2019

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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http://dx.doi.org/10.1097/INF.0000000000002514DOI Listing
February 2020
5 Reads

ANTIBACTERIAL THERAPY FOR PURULENT-SEPTIC COMPLICATIONS IN PATIENTS WITH COMBAT RELATED PENETRATING CRANIOCEREBRAL GUNSHOT WOUNDS.

Georgian Med News 2019 Sep(294):10-16

2Public Institution, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Ukraine.

Aim - to evaluate pathogens and their susceptibility to antibiotic therapy (ABT) in combat-related penetrating craniocerebral gunshot wound (PCGW) patients and develop recommendations for treatment of post-traumatic meningoencephalitis. We conducted a prospective analysis of examination and treatment results of 121 patients who were admitted to the Public Institution, Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine, from 25 May 2014, to 31 December 2017, and were successively enrolled in the study. Intracranial purulent-septic complications were diagnosed in 14 (11. Read More

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September 2019

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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http://dx.doi.org/10.1111/vec.12904DOI Listing
November 2019
1 Read

A case report of multiple cerebral abscess formation complicating serogroup B Neisseria meningitidis meningitis.

BMC Infect Dis 2019 Oct 21;19(1):863. Epub 2019 Oct 21.

Department of Infectious Diseases, Temple Street Children's University Hospital, Dublin 1, Ireland.

Background: Invasive meningococcal disease (IMD) presenting with meningitis causes significant mortality and morbidity. Suppurative complications of serogroup B meningococcal sepsis are rare and necessitate urgent multidisciplinary management to mitigate long-term morbidity or mortality.

Case Presentation: We present a rare case of invasive meningococcal disease in a 28-month old boy complicated by multiple abscess formation within a pre-existing antenatal left middle cerebral artery territory infarct. Read More

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http://dx.doi.org/10.1186/s12879-019-4509-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6802112PMC
October 2019
2 Reads

Subdural and subarachnoid empyema as a complication of an acute meningococcal meningitis.

Arch Dis Child 2019 Oct 19. Epub 2019 Oct 19.

Pediatric Infectious Diseases, Hospital General Universitario Gregorio Maranon, Madrid, Spain.

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http://dx.doi.org/10.1136/archdischild-2019-318036DOI Listing
October 2019

Non-Traumatic Pneumocephalus and Sub-Dural Empyema as a Complication of Chronic Sinusitis.

Cureus 2019 Jul 22;11(7):e5202. Epub 2019 Jul 22.

Internal Medicine, Civil Hospital Karachi, Dow University of Health Sciences, Karachi, PAK.

Infectious sinusitis is extremely common in children, and persistent infection can lead to many complications. The most dangerous and commonly reported complications are intracranial. These intracranial complications include pneumocephalus, cerebral abscess, subdural empyema, meningitis, cellulitis, orbital abscess, and cavernous sinus thrombosis. Read More

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http://dx.doi.org/10.7759/cureus.5202DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6758996PMC
July 2019
3 Reads

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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http://dx.doi.org/10.3171/2019.1.PEDS18434DOI Listing
July 2019
3 Reads

Check the Ear. The Importance of Ear Examinations in Assessment of Intracranial Subdural Empyema.

Trop Med Infect Dis 2019 Sep 18;4(3). Epub 2019 Sep 18.

Department of Neurosurgery, Royal Darwin Hospital, Darwin Northern Territory, Tiwi 0810, Australia.

Intracranial subdural empyema (ISE) is an uncommon condition previously associated with almost 100% morbidity and mortality. Since the introduction of antibiotics and advancements in diagnosis the complication rates have significantly improved. We report an unusual case of a 32-year-old Aboriginal male diagnosed with ISE. Read More

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http://dx.doi.org/10.3390/tropicalmed4030120DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6789478PMC
September 2019
4 Reads

Cranioplasty following decompressive craniectomy - Analysis of complication rates and neurological outcomes: A single center study.

Surg Neurol Int 2019 19;10:142. Epub 2019 Jul 19.

Department of Neurosurgery, Max Superspeciality Hospital, New Delhi, India.

Background: Cranioplasty is the surgical intervention to repair cranial defects in both cosmetic and functional ways. Despite the fact that cranioplasty is a simple procedure, it is still associated with a relatively high complication rate, ranging between series from 12% to 50%.

Methods: The author did a prospective cohort study of patients from August 2015 to December 2017, who had undergone decompressive craniectomy followed by cranioplasty after 6 weeks at our institution. Read More

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http://dx.doi.org/10.25259/SNI_29_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744790PMC
July 2019
2 Reads

Efficacy of Trauma Catheter and Mushroom Tip Catheter in Evacuation of Chronic Subdural Hematoma and Complications of Drain Placement.

Cureus 2019 Jul 11;11(7):e5123. Epub 2019 Jul 11.

Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.

Objective The aim of this study was to assess the efficacy and complications of trauma catheter versus mushroom tip catheter placement in the evacuation of chronic subdural hematoma via twist drill craniostomy with closed system drainage. Background Chronic subdural hematoma (cSDH) is one of the most frequent neurosurgical pathologies in patients >70 years of age with an estimated incidence of 8.2 per 100,000 people per year. Read More

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http://dx.doi.org/10.7759/cureus.5123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6741381PMC
July 2019
2 Reads

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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http://Insights.ovid.com/crossref?an=00000637-900000000-9690
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http://dx.doi.org/10.1097/SAP.0000000000001970DOI Listing
January 2020
5 Reads

Guidelines of the French Society of Otorhinolaryngology (SFORL): Nonsteroidal anti-inflammatory drugs (NSAIDs) and pediatric ENT infections. Short version.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Sep 13;136(4):289-294. Epub 2019 Aug 13.

Service d'ORL, hôpital Necker-Enfants-Malades, AP-HP, 75015 Paris, France. Electronic address:

Objectives: To present the guidelines of the French Society of Otolaryngology-Head and Neck Surgery concerning the use of non-steroidal anti-inflammatory drugs (NSAIDs) in pediatric ENT infections.

Methods: Based on a critical analysis of the medical literature up to November 2016, a multidisciplinary workgroup of 11 practitioners wrote clinical practice guidelines. Levels of evidence were classified according to the GRADE (Grades of Recommendation, Assessment, Development and Evaluation) system: GRADE A, B, C or "expert opinion". Read More

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http://dx.doi.org/10.1016/j.anorl.2019.04.001DOI Listing
September 2019
4 Reads

Haemophilus influenzae Type f Meningitis Complicated by Bilateral Subdural Empyema, Central Venous Thrombosis, and Bilateral Sensorineural Hearing Loss in an Immunocompetent 12-month-old.

Cureus 2019 Jun 6;11(6):e4850. Epub 2019 Jun 6.

Pediatrics, C.S. Mott Children's Hospital, Ann Arbor, USA.

Haemophilus influenzae is a gram-negative coccobacillus that colonizes the nasopharyngeal surface and upper respiratory tract of healthy individuals and includes six encapsulated serotypes as well as non-encapsulated, non-typeable strains. Since the widespread use of the Haemophilus influenzae type b (Hib) conjugate vaccine implemented in 1990, the majority of invasive illness now seen in the United States is secondary to capsular serotypes other than type b and non-typeable strains with the largest burden of disease affecting the extremes of age-infants and the elderly. We report a case of acute Haemophilus influenzae type f meningitis in a 12-month-old female who was previously healthy and had been fully immunized. Read More

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http://dx.doi.org/10.7759/cureus.4850DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684117PMC
June 2019
5 Reads

Management of Spinal Emergencies in Patients on Direct Oral Anticoagulants.

World Neurosurg 2019 Nov 7;131:e570-e578. Epub 2019 Aug 7.

Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.

Objective: Spine surgeons increasingly encounter acute spinal pathologies in patients treated with direct oral anticoagulants (DOACs), but only limited data on the management of these patients are currently available.

Methods: We retrospectively analyzed patients who presented to our department with acute spinal pathology during treatment with DOAC and who required urgent surgical therapy. Patient characteristics and treatment modalities were studied, with specific focus on the management of hemostasis and surgical therapy. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.07.234DOI Listing
November 2019
5 Reads

Infantile supratentorial subdural empyema managed by percutaneous aspiration: an outcome study in a Nigerian city.

Sudan J Paediatr 2019 ;19(1):37-43

Department of Pediatrics, College of Medicine University of Lagos & Lagos University Teaching Hospital, Idi-Araba, Nigeria.

Subdural empyema (SDE), a common neurosurgical emergency in the developing countries, accounts for 15%-20% of localised paediatric intracranial infections. In regions where modern diagnostic tools are scarce and inaccessible, detection of SDE may be delayed with subsequent poor outcome. Percutaneous subdural aspiration in patients with open anterior fontanel may be the only surgical option in resource-poor regions of the world. Read More

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http://dx.doi.org/10.24911/SJP.106-1520470056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6589801PMC
January 2019
7 Reads

Implementation of an infection prevention bundle is associated with reduced surgical site infections in cranial neurosurgery.

Neurosurg Focus 2019 08;47(2):E3

Departments of1Infectious Diseases and Hospital Hygiene.

Objective: The objective of this study was to quantify surgical site infection (SSI) rates after cranial neurosurgery in a tertiary care hospital, identify risk factors for SSI, and evaluate the impact of standardized surveillance and an infection prevention bundle (IPB).

Methods: The authors compared SSI rates during 7 months before and after the intervention. The IPB included standardized patient preparation, perioperative antibiotic/antiseptic use, barrier precautions, coaching of surgeons, and the implementation of a specialized technical operation assistant team. Read More

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http://dx.doi.org/10.3171/2019.5.FOCUS19272DOI Listing
August 2019
3 Reads

Predictors of outcome of subdural empyema in children.

Neurosurg Focus 2019 08;47(2):E17

Objective: The aim of this study was to report the etiology, clinical features, microbiology, surgical outcome, and predictors of outcome of spontaneous subdural empyema (SDE).

Methods: The authors conducted a retrospective study in a tertiary hospital. Children up to 18 years of age, with a diagnosis of SDE with infective etiology, were included in the present cohort. Read More

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http://dx.doi.org/10.3171/2019.5.FOCUS19268DOI Listing
August 2019
5 Reads

Intracranial infections: lessons learned from 52 surgically treated cases.

Neurosurg Focus 2019 08;47(2):E10

Departments of1Neurosurgery and.

Objective: Intracranial infections are serious and life-threatening health problems. They may present as subdural empyemas or intracerebral abscesses. Surgical drainage and subsequent antibiotic treatment is the main technique for a satisfactory clinical outcome. Read More

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http://dx.doi.org/10.3171/2019.5.FOCUS19238DOI Listing
August 2019
3 Reads

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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http://dx.doi.org/10.1097/MAO.0000000000002290DOI Listing
August 2019
7 Reads
1.598 Impact Factor

The great neurosurgical masquerader: 3 cases of desmoplastic infantile ganglioglioma.

Authors:
Alan R Cohen

J Neurosurg Pediatr 2019 Jul 5:1-9. Epub 2019 Jul 5.

Desmoplastic infantile ganglioglioma (DIG) is a rare, distinctive, supratentorial neoplasm with a generally favorable prognosis. Clinical, radiographic, and pathologic features can sometimes mimic those of a malignant tumor and other serious intracranial disorders. The author describes his experience with 3 cases of DIG, each of which initially masqueraded as another neurological disease with a very different prognosis. Read More

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http://dx.doi.org/10.3171/2019.5.PEDS19151DOI Listing
July 2019
3 Reads

Dual-Use Intraoperative MRI in Glioblastoma Surgery: Results of Resection, Histopathologic Assessment, and Surgical Site Infections.

J Neurol Surg A Cent Eur Neurosurg 2019 Nov 4;80(6):413-422. Epub 2019 Jul 4.

Department of Neurosurgery, Asklepios Kliniken Hamburg GmbH Asklepios Klinik Nord Standort Heidberg, Hamburg, Hamburg, Germany.

Background:  To achieve maximal resection in glioblastoma (GBM) surgery, intraoperative imaging is important. An intraoperative magnetic resonance imaging (iMRI) suite used for both diagnostic and intraoperative imaging is considered being a reasonable concept for modern hospital management. It is still discussed if the dual use increases the risk of surgical site infections (SSI). Read More

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http://dx.doi.org/10.1055/s-0039-1692975DOI Listing
November 2019
6 Reads

Clinical presentations, Laboratory analysis and Linear Growth in 50 Neonates and Young Infants with Acute Meningitis: One Year Experience of a Single Center in Qatar.

Mediterr J Hematol Infect Dis 2019 1;11(1):e2019028. Epub 2019 May 1.

Pediatric and Adolescent Outpatient Clinic, Quisisana Hospital, Ferrara, Italy.

Background: Meningitis frequently occurs in neonates and can lead to a number of acute, severe complications and long-term disabilities. Although, long term growth delay and abnormal weight gain appear to be risk factors following an acute attack of both bacterial and aseptic meningitis in children, especially during the fast phase of infantile growth, the long-term effects of acute meningitis occurring during the neonatal and early infantile periods on linear growth (length, weight and head growth) have not fully reported.

Aim Of The Study: The objective of this study is to describe the clinical presentation of neonates and young infants with acute meningitis with different etiologies and to determine the clinical impact of the effect of acute meningitis on growth parameters. Read More

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http://dx.doi.org/10.4084/MJHID.2019.028DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6548213PMC
May 2019
10 Reads

Gram-negative Cranial Bone Flap Infection Treated with Continuous Gentamicin Irrigation: A Case Report.

Cureus 2019 Mar 20;11(3):e4282. Epub 2019 Mar 20.

Neurosurgery, Harbin Clinic, Rome, USA.

A 57-year-old male presented with severely altered mental status in the setting of diabetic ketoacidosis. Neuroimaging revealed two intracranial masses. Days following surgical resection of an olfactory groove meningioma, the patient developed bacteremia along with an enlarging epidural and subgaleal fluid collection. Read More

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http://dx.doi.org/10.7759/cureus.4282DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538237PMC
March 2019
9 Reads

[A multicentric clinical study on clinical characteristics and drug sensitivity of children with meningitis in China].

Zhonghua Er Ke Za Zhi 2019 May;57(5):355-362

Department of Infectious Diseases, Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310052, China.

To understand clinical characteristics of children with meningitis (PM) in China and to analyze the drug sensitivity of isolates and associated impacts on death and sequelae. The clinical data, follow-up results and antimicrobial sensitivity of isolated strains of 155 children (including 98 males and 57 females, age ranged from 2 months to 15 years) with PM in 10 tertiary-grade A class hospitals of Infectious Diseases Surveillance of Pediatrics (ISPED) from 2013 to 2017 were collected and analyzed retrospectively. Patients were divided into different groups according to the following standards: ≤1 year old group,>1-3 years old group and >3 years old group according to age; death group and non-death group according to the death within 30 days after PM diagnosis; complication group and non-complication group according to the abnormal cranial imaging diagnosis; sequelae group and no-sequelae group according to the follow-up results. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0578-1310.2019.05.008DOI Listing
May 2019
10 Reads

Paediatric focal intracranial suppurative infection: a UK single-centre retrospective cohort study.

BMC Pediatr 2019 04 25;19(1):130. Epub 2019 Apr 25.

Paediatric Immunology, Infectious Diseases and Allergy Department, Newcastle upon Tyne Hospitals NHS Foundation Trust, Great North Children's Hospital, Newcastle upon Tyne, NE1 4LP, UK.

Background: Paediatric focal intracranial suppurative infections are uncommon but cause significant mortality and morbidity. There are no uniform guidelines regarding antibiotic treatment. This study reviewed management in a tertiary healthcare centre in the United Kingdom and considers suggestions for empirical treatment. Read More

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http://dx.doi.org/10.1186/s12887-019-1486-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6482535PMC
April 2019
17 Reads

Cotton bud in external ear canal causing necrotising otitis externa and subdural abscess.

BMJ Case Rep 2019 Mar 6;12(3). Epub 2019 Mar 6.

Department of Otolaryngology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Necrotising otitis externa (NOE) is an infection originating in the soft tissues of the external auditory canal (EAC) spreading to the surrounding bone and rarely causing intracranial complications. It is usually caused by and has historically occurred in elderly patients with diabetes or immunodeficiency. EAC foreign body is a risk factor for otitis externa but has not been described in NOE. Read More

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http://dx.doi.org/10.1136/bcr-2018-227971DOI Listing
March 2019
9 Reads

[A Case of Subdural Empyema with Cerebral Arteritis and Brain Ischemia in the Middle Cerebral Artery Distribution, Secondary to Odontogenic Maxillary Sinusitis].

No Shinkei Geka 2019 Feb;47(2):205-210

Department of Neurosurgery, Tachikawa General Hospital, Tachikawa Medical Center.

We present a rare case of subdural empyema with cerebral arteritis and brain ischemia in the middle cerebral artery distribution secondary to odontogenic maxillary sinusitis. A 32-year-old man was admitted to our hospital because of high fever and generalized convulsions. Computed tomography(CT)and magnetic resonance imaging(MRI)showed subdural empyema at the left convexity, with a small amount of air. Read More

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http://dx.doi.org/10.11477/mf.1436203918DOI Listing
February 2019
15 Reads

meningitis in a Saudi infant: case report and literature review.

Int J Pediatr Adolesc Med 2018 Sep 18;5(3):122-126. Epub 2018 Sep 18.

Children Specialized Hospital, King Fahad Medical City, Saudi Arabia.

Background: Anaerobic meningitis is mainly caused by and it is rarely detected in children. Few cases have been reported and there is usually an underlying cause. The timing of early recognition is crucial because any delay in the diagnosis and initiation of appropriate antimicrobial therapy has a devastating outcome. Read More

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http://dx.doi.org/10.1016/j.ijpam.2018.05.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363260PMC
September 2018
9 Reads

Unilateral hearing loss in a 94-year-old patient.

Age Ageing 2019 05;48(3):463-464

Department of Geratology, John Radcliffe Hospital Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

A case report of a 94-year-old, previously well male patient who presented with fever thought to be caused by community acquired pneumonia, new unilateral hearing loss and reduced consciousness. Despite antibiotic treatment he continued to deteriorate. Brain imaging with computer tomography and magnetic resonance imaging revealed a left otomastoiditis with osteomyelitis of the skull base, associated with an adjacent subdural empyema. Read More

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http://dx.doi.org/10.1093/ageing/afz003DOI Listing
May 2019
11 Reads

Outcome of Primary Bone Fragment Replacement in Pediatric Patients with Depressed Skull Fracture.

Pediatr Neurosurg 2019 23;54(1):28-35. Epub 2019 Jan 23.

Department of Neurosurgery, Gaziantep Medical Park Hospital, Gaziantep, Turkey.

Objective: To evaluate pediatric patients who were operated with the diagnosis of depressed skull fracture.

Methods: The records of pediatric patients who presented with traumatic head injury to multicenter neurosurgery clinics between 2002 and 2018 and who were operated with a diagnosis of depressed skull fracture were retrospectively reviewed. All of the patients underwent primary bone fragment replacement operation, and the patients' own bone flaps were used to repair depressed skull fractures in all of them. Read More

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https://www.karger.com/Article/FullText/495807
Publisher Site
http://dx.doi.org/10.1159/000495807DOI Listing
April 2019
17 Reads

Case report of Actinomyces turicensis meningitis as a complication of purulent mastoiditis.

BMC Infect Dis 2018 Dec 20;18(1):686. Epub 2018 Dec 20.

Semmelweis University, Institute of Medical Microbiology, Budapest, Hungary.

Background: Central nervous system (CNS) infections caused by Actinomyces spp. including brain abscess, actinomycoma, subdural empyema and epidural abscess are well described, however reports of Actinomyces-associated meningitis are scarcely reported.

Case Report: We present the case of a 43-year-old Hungarian male patient with poor socioeconomic status who developed acute bacterial meningitis caused by Actinomyces turicensis originating from the left side mastoiditis. Read More

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http://dx.doi.org/10.1186/s12879-018-3610-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302302PMC
December 2018
36 Reads

Understanding Subdural Collections in Pediatric Abusive Head Trauma.

AJNR Am J Neuroradiol 2019 03 6;40(3):388-395. Epub 2018 Dec 6.

Institute of Diagnostic and Interventional Radiology and Neuroradiology (M.L.H.), University Hospital Essen, Essen, Germany.

Life-threatening physical abuse of infants and toddlers is frequently correlated with head injuries. A common variant of the abusive head trauma is the shaken baby syndrome. The present review article sheds light on subdural collections in children with abusive head trauma and aims at providing a recent knowledge base for various medical disciplines involved in diagnostic procedures and legal proceedings. Read More

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http://dx.doi.org/10.3174/ajnr.A5855DOI Listing
March 2019
2 Reads

Interhemispheric Subdural Empyema Secondary to Sinusitis in an Adolescent Girl.

Chin Med J (Engl) 2018 Dec;131(24):2989-2990

Department of Neurology, The Affiliated Hospital of Jiujiang University, Jiujiang, Jiangxi 332000, China.

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http://dx.doi.org/10.4103/0366-6999.247213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6302645PMC
December 2018
10 Reads