Giant subdural empyema in a child: a case report

详细信息    查看全文

• 作者：Tufan Hicdonmez ; Bilge Cakir ; M. Kemal Hamamcioglu ; Cumhur Kilincer ; Sebahattin Cobanoglu
• 关键词：Magnetic resonance ; Computed tomography ; Subdural empyema ; Children
• 刊名：Surgical Neurology
• 出版年：2006
• 出版时间：December 2006
• 年：2006
• 卷：66
• 期：6
• 页码：632-633
• 全文大小：276 K

文摘

An unusual case of a giant (8×6×6 cm) frontoparietal SDE of Streptococcus pneumoniae in a 17-month-old child is reported. The initial diagnosis was made with emergency CT. The purulent material was removed via a frontoparietal craniotomy. A series of postoperative MR imaging showed the gradual reduction in size of the lesion, although collapsed capsule, fibrous thickening of meningeal structures and associated displacement of the underlying brain persisted. The child was symptom-free in a follow-up period of 15 months. This case showed that SDE may reach a giant size and thus may mimic an intra-axial lesion; the coronal MR imaging is a more reliable diagnostic tool than the emergency axial CT in giant SDE of upper convexity localization, and the clinical improvement may be more impressive than the radiological changes.