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Journal of Korean Neurosurgical Society > Volume 10(2); 1981 > Article
Journal of Korean Neurosurgical Society 1981;10(2): 595-600.
Intracranial Subdural Empyema: Case Report.
Young Beag Kim, Jong Sik Suk, Duck Young Choi, Kwang She Rhim
Department of Neurosurgery, College of Medicine, Chung Ang University, Seoul, Korea.
ABSTRACT
Subdural empyema is a uncommon fulminating disease which rapidly terminates in death if untreated. When a patient with acute sinus or otitic infection complain headache, vomiting, impairment of consciousness, seizures of focal neurological signs, the possibility of intracranial infection should be considered. We recently experienced a case of subdural empyema in a 22 yrs old male who had not any previous history of infection. This patient with signs of IICP and seizures was diagnosed as space occupying lesion in the subdural space, right frontotemporal by carotid angiography but trephination revealed a subdural empyema which was drainaged through multiple burr holes. After 2 weeks of uneventful course, the computed tomography was done because of reappeared signs of IICP and three encapsualated subdural abscess were found. The patient was discharged from hospital in the excellent condition after total extirpation through craniotomy of above abscess.
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