1,278 results match your criteria Subdural Empyema


Intracranial complications of hypercoagulability and superinfection in the setting of COVID-19: illustrative cases.

J Neurosurg Case Lessons 2022 May 23;3(21):CASE22127. Epub 2022 May 23.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Background: Hypercoagulability with thrombosis and associated inflammation has been well-documented in COVID-19, and catastrophic cerebral venous sinus thromboses (CVSTs) have been described. Another COVID-19-related complication is bacterial superinfection, including sinusitis. Here, the authors reported three cases of COVID-19-associated sinusitis, meningitis, and CVST and summarized the literature about septic intracranial thrombotic events as a cause of headache and fever in COVID-19. Read More

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A surgical protocol for sinogenic brain abscess: the Oxford experience and a review of the literature.

Rhinology 2022 Jun 21. Epub 2022 Jun 21.

ENT Department, Oxford University Hospital, Oxford, UK.

Background: Rhinosinusitis-induced brain abscesses are rare but can result in devastating long-term sequalae and mortality; they require a high index of suspicion with early imaging to start early empiric parenteral antibiotic treatment covering aerobes and anaerobes.

Methodology: Our study was a retrospective analysis on 32 patients who were treated at Oxford University Hospitals for rhinosinusitis-induced brain abscess between February 2013 and June 2020.

Results: Mean age of presentation was 45. Read More

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Spontaneous empyema and brain abscess in an intensive care population: clinical presentation, microbiology, and factors associated with outcome.

Acta Neurochir (Wien) 2022 May 27. Epub 2022 May 27.

Neurocritical Care Unit, Dept. of Neurosurgery and Institute of Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.

Background: Data on critically ill patients with spontaneous empyema or brain abscess are limited. The aim was to evaluate clinical presentations, factors, and microbiological findings associated with the outcome in patients treated in a Neurocritical Care Unit.

Methods: In this retrospective study, we analyzed 45 out of 101 screened patients with spontaneous epidural or subdural empyema and/or brain abscess treated at a tertiary care center between January 2012 and December 2019. Read More

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Oral sequential therapy in the treatment of post-surgical epidural abscess and subdural empyema.

Infection 2022 Apr 23. Epub 2022 Apr 23.

Biomedical Research Institute Galicia Sur, Vigo, Spain.

Purpose: The management of post-surgical subdural empyema and subdural abscess is not standardised. The objective was to analyse the efficacy and safety of oral sequential therapy (OST).

Methods: Retrospective observational study in a tertiary hospital in Vigo (Spain). Read More

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A Case Report of Subdural Empyema Following Decompressive Craniotomy, and a Review of Central Nervous System Infections.

Front Med (Lausanne) 2022 24;9:792323. Epub 2022 Feb 24.

Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Background: is a small cell-wall-free organism, part of the normal microbiota of the genitourinary tract. It is rarely involved in extragenital infections, mainly joint, surgical-site, and respiratory infections.

Methods: We describe a case of subdural empyema and lower limb surgical site infections, following decompressive craniotomy, after traumatic brain and extremities injury. Read More

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February 2022

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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Campylobacter fetus meningitis and subdural empyema.

Enferm Infecc Microbiol Clin (Engl Ed) 2022 04 26;40(4):212-213. Epub 2022 Feb 26.

Unidad de Infecciosas, Servicio de Medicina Interna, Hospital Universitario de Ourense, Orense, Spain.

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Unusual case of spinal subdural empyema with ventriculitis managed conservatively with lumbar drain.

BMJ Case Rep 2022 Feb 28;15(2). Epub 2022 Feb 28.

Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA.

It has long been believed that spinal subdural empyemas (SDEs) with neurological symptoms result in death if operative intervention is not performed. We present a case of addressing an extensive spinal SDE with a minimally invasive procedure: a bedside lumbar drain. Our patient is a 67-year-old man with medical history significant for type I diabetes who presented 2 weeks after a right shoulder steroid injection with septic arthritis. Read More

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February 2022

Meningeal empyema.

Med Intensiva (Engl Ed) 2022 Mar;46(3):176

Adult Intensive Care Department, Hospital Italiano de Buenos Aires, Argentina.

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The Endoscopic Management of Different Pediatric Frontal Sinus Pathologies.

Int J Otolaryngol 2022 10;2022:1078178. Epub 2022 Feb 10.

King Faisal University, Alahsa, Saudi Arabia.

Background: The paranasal sinuses in pediatrics can harbor a wide variety of pathologies. With the present literature being composed of case studies only, this entity is quite understudied.

Objectives: This article aims to study the clinical presentation, diagnosis, and endoscopic management of six different rare frontal sinus pathologies in pediatrics, which include extensive allergic fungal sinusitis, mucoceles, osteoma, superior sagittal sinus thrombosis, CSF leak, and subdural empyema. Read More

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February 2022

The Case for Early Antibiotic Commencement and Source Control in Paediatric Subdural Empyema: A Single-Centre Retrospective Case Series.

Pediatr Neurosurg 2022 27;57(1):28-34. Epub 2021 Dec 27.

Department of Neurosurgery, Great Ormond Street Hospital, London, United Kingdom.

Background: Subdural empyema is a neurosurgical emergency requiring prompt diagnosis and treatment. There is a debate between the benefits and risks of starting early antibiotics prior to surgical drainage as this is purported to reduce the rate of microbiological diagnosis. Here, we describe our experience of treating this potentially life-threatening condition, advocating for the early commencement of antibiotics and importance of source control in its treatment. Read More

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February 2022

Sinusitis as a cause of insidious headache in a pregnant woman: A case report.

Obstet Med 2021 Dec 26;14(4):257-259. Epub 2020 Nov 26.

Department of Otolaryngology Head and Neck Surgery, Loyola University Medical Center, Maywood, IL, USA.

Background: The incidence of headaches during pregnancy is 35%. Although ruling out pre-eclampsia as a possible cause for headache is important in the pregnant population, acute sinusitis should remain on the differential as it occurs six times more frequently in pregnant women. Untreated disease can lead to rare intracranial complications such as a subdural empyema. Read More

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December 2021

The Clinical Characteristics and Therapeutic Outcomes of Escherichia Coli Meningitis in Adults.

Acta Neurol Taiwan 2021 Dec;30(4):141-150

Department of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Background: To examine the clinical characteristics and therapeutic outcome of Escherichia (E.) coli adult bacterial meningitis (ABM).

Methods: The demographic data, clinical and laboratory features and therapeutic outcome of 25 E. Read More

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December 2021

Subdural empyema in adult with recent SARS-CoV-2 positivity case report.

Radiol Case Rep 2021 Dec 2;16(12):3659-3661. Epub 2021 Oct 2.

MultiCare Good Samaritan Hospital, 401 15th SE Avenue, Puyallup, WA, 98372, USA.

Intracranial abscess, including subdural empyema, is a rare central nervous system infectious disease and diagnosis is often delayed due to patient presentation with non-specific neurologic findings. Here we report a 65-year-old male with a recent past medical history of SARS-CoV-2 infection who presented with three weeks of escalating headache in whom MRI imaging revealed a subdural empyema. He subsequently underwent two craniectomies, which resulted in eradication of the abscess and clinical improvement. Read More

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December 2021

Versatile Use of Intraoperative Ultrasound Guidance for Brain Puncture.

Oper Neurosurg (Hagerstown) 2021 11;21(6):409-417

Department of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Background: Intraoperative ultrasound (iUS) is an effective guidance and imaging system commonly used in neuro-oncological surgery. Despite the versatility of iUS, its utility for single burr hole puncture guidance remains fairly underappreciated.

Objective: To highlight the simplicity, versatility, and effectiveness of iUS guidance in brain puncture by presenting the current case series and technical note collection. Read More

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November 2021

Streptococcus equi subspecies zooepidemicus Meningitis, Septicemia, and Brain Infarcts in a Costa Rican Infant.

Cureus 2021 Aug 18;13(8):e17286. Epub 2021 Aug 18.

Infectious Disease, Hospital Nacional De Niños "Dr. Carlos Sáenz Herrera", San José, CRI.

, an equine commensal bacterium, is a rare etiology of septicemia and meningoencephalitis in humans and is extremely infrequent in children. Scarce literature has been published about its clinical presentation, treatment and outcomes in infants. Here, we describe a case of septicemia and meningoencephalitis in a five-month-old Costa Rican infant that was confirmed by peripheral blood and cerebrospinal fluid (CSF) cultures in a regional hospital of the Pacific coast of Costa Rica who developed multiple ischemic cerebral infarcts secondary to infectious vasculitis, a subdural empyema and serious neurological sequelae. Read More

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Complete manuscript title: Neurological complications from sinugenic orbital cellulitis.

Eur J Ophthalmol 2021 Sep 8:11206721211044637. Epub 2021 Sep 8.

Manchester Royal Eye Hospital, Manchester, UK.

Introduction: This study was undertaken with an aim to identify any common factors or trends among patients of orbital cellulitis that developed neurological complications.

Methods: A 24-month retrospective review of patients was undertaken to include those showing clinical deterioration and neurological complications on radiological imaging, after being treated for orbital cellulitis at Manchester Royal Eye Hospital. The study specifically looked at the site of orbital collection, sinus involvement, types of neurological complications and whether these were detected at initial presentation, surgical input and microbiology findings. Read More

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September 2021

Sinogenic Intracranial Suppuration in Children: Systematic Review and Meta-analysis.

Otolaryngol Head Neck Surg 2021 Sep 7:1945998211043847. Epub 2021 Sep 7.

Alder Hey Children's Hospital, Liverpool, UK.

Objective: To evaluate temporal trends in the management of sinogenic intracranial suppuration and its outcomes in children.

Data Sources: A systematic search of databases was performed (Medline, Embase, Cochrane, ClinicalTrials.gov). Read More

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September 2021

Rheumatoid meningitis: report of two cases.

Rev Med Chil 2021 Feb;149(2):295-303

Faculty of Medicine, Hospital Clínico Universidad de Chile, Universidad de Chile, Santiago, Chile.

Rheumatoid meningitis (RM) is a rare complication of rheumatoid arthritis (RA). RM mimics many other conditions such as subdural empyema, unsteady gait, focal brain dysfunction, stroke, relapsing-remitting motor signs, headache, neuropsychiatric disorders, seizures, parkinsonism, and meningeal tumors. RM is considered a disease with poor prognosis. Read More

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February 2021

Postoperative infected organised subdural haematoma that necessitated wide craniotomy.

BMJ Case Rep 2021 Aug 3;14(8). Epub 2021 Aug 3.

Department of Neurosurgery, National Hospital Organisation Tochigi Medical Center, Utsunomiya, Japan.

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Efficacy of endoscopic sinus surgery alone versus in combination with neurosurgical intervention for the treatment of pediatric subdural empyema.

Int J Pediatr Otorhinolaryngol 2021 Sep 12;148:110836. Epub 2021 Jul 12.

Department of Otolaryngology- Head and Neck Surgery, University of California San Francisco, San Francisco CA, USA.

Objectives: To compare treatment outcomes for sinogenic subdural empyema (SE) between those managed with initial endoscopic sinus surgery (ESS) alone versus those treated with a combination of ESS and craniotomy over the last decade at our institution. To better characterize subdural empyema with regard to presentation, causative pathogens, and treatment course.

Methods: Retrospective single-center chart review to identify and evaluate pediatric SE patients between 2009 and 2019. Read More

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September 2021

-infected chronic subdural hematoma mimicking an expanding hematoma: A case report.

Surg Neurol Int 2021 14;12:288. Epub 2021 Jun 14.

Department of Neurosurgery, Kobe City Medical Center General Hospital, Kobe, Hyogo, Japan.

Background: We present the rare case of a spontaneous intracranial subdural empyema caused by in a preexisting chronic subdural hematoma (CSDH).

Case Description: A 72-year-old man with a history of the right CSDH that remained radiologically unchanged for the past 2 years with conservative management was transferred to our hospital because of fever and convulsive seizure. Systemic sources of infection were not identified. Read More

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Subdural false twins: concomitant appearance of subdural haematoma and spontaneous subdural empyema.

BMJ Case Rep 2021 Jun 21;14(6). Epub 2021 Jun 21.

Neurosurgery, Hospital and University Center of Coimbra EPE, Coimbra, Portugal.

A 55-year-old man was taken to the emergency department due to right arm weakness for the past 3 days and fever (39.5°C). There was no impaired consciousness, no history of trauma and meningeal signs were absent on physical examination. Read More

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Subdural empyema, brain abscess, and superior sagittal sinus venous thrombosis secondary to .

Turk Arch Pediatr 2021 Jan 1;56(1):88-91. Epub 2021 Jan 1.

Department of Neurosurgery, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey.

can be frequently isolated from brain abscesses, but is a rare cause of the liver, lung, and deep tissue abscesses. In this report, we present a patient with subdural empyema, brain abscess, and superior sagittal cerebral venous thrombosis as complications of rhinosinusitis whose purulent empyema sample yielded . A 13-year-old female patient was referred to our pediatric intensive care unit with altered mental status, aphasia, and behavioral change. Read More

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January 2021

Two Cases of Cronobacter Sakazakii Meningitis in Infants: The Importance Of Early Advanced Brain Imaging and Public Health Reporting.

Pediatr Infect Dis J 2021 09;40(9):e346-e348

From the Section of Infectious Diseases, Department of Pediatrics.

We report 2 infants hospitalized with Cronobacter sakazakii meningitis. Each infant had exposure to powdered infant formula at home. Both infants survived, but 1 infant had a subdural empyema drained and developed left sensorineural hearing loss. Read More

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September 2021

Orbital Cellulitis Secondary to Dental Abscess in Children.

Cureus 2021 Apr 9;13(4):e14392. Epub 2021 Apr 9.

Ophthalmology Clinic, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Kelantan, MYS.

Paediatric orbital cellulitis is a potential sight- and life-threatening condition. It is a serious infection in children that can result in significant complications, including blindness, cavernous sinus thrombosis, cerebral venous sinus thrombosis, meningitis, subdural empyema, and brain abscess. Of the patients with orbital cellulitis, 17% died from meningitis, and 20% of the survivors had permanent loss of vision. Read More

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Intracranial complications after surgical removal of nasal polyps.

J Surg Case Rep 2021 Apr 27;2021(4):rjab109. Epub 2021 Apr 27.

Department of Neurosurgery, Nicolaus Copernicus University Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.

Acute otitis media can be caused by viruses (nonsuppurative inflammation) and bacteria (suppurative inflammation). The suppurative inflammation is a risk factor for endocranial complications, including subdural empyema burdened with a high mortality. The authors present a clinical case of a 67-year-old man treated by surgery for a subdural empyema in the course of the acute suppurative otitis media. Read More

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Campylobacter fetus meningitis and subdural empyema.

Enferm Infecc Microbiol Clin (Engl Ed) 2021 Apr 12. Epub 2021 Apr 12.

Unidad de Infecciosas, Servicio de Medicina Interna, Hospital Universitario de Ourense, Orense, España.

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Suspected chronic subdural haemorrhage as a sequela of subdural empyema in an Irish Setter.

Authors:
L Motta

J Small Anim Pract 2021 Aug 30;62(8):715. Epub 2021 Mar 30.

North West Veterinary Specialists, Delamere House, Ashville Point, Sutton Weaver, WA7 3FW, UK.

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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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