scholarly journals Infant with Mixed Subdural Collection and BESS

2021 ◽  
Author(s):  
Joseph Scheller
Keyword(s):  
Subdural Collection

scholarly journals Neurologic melioidosis presented as encephalomyelitis and subdural collection in two male labourers in India

2015 ◽  
Vol 9 (11) ◽  
pp. 1289-1293 ◽  
Author(s):  
Kavitha Saravu ◽  
Rajagopal Kadavigere ◽  
Ananthakrishna Barkur Shastry ◽  
Rohit Pai ◽  
Chiranjay Mukhopadhyay
Keyword(s):  
Lower Limb ◽  
Corticosteroid Treatment ◽  
Conus Medullaris ◽  
Subdural Empyema ◽  
Lower Limbs ◽  
High Dose ◽  
Limb Weakness ◽  
Subdural Collection ◽  
Lower Limb Weakness ◽  
Left Lower Limb

Two distinct and potentially deceitful cases of neurologic melioidosis are reported. Case 1: A 39-year-old alcoholic and uncontrolled diabetic male presented with cough, fever, and left focal seizures with secondary generalization. An magnetic resonance imaging (MRI) brain scan revealed a small peripherally enhancing subdural collection along the interhemispheric fissure suggestive of minimal subdural empyema. Blood culture grew Burkholderia pseudomallei. Patient was diagnosed with disseminated bacteraemic melioidosis with subdural empyema. He was successfully treated with ceftazidime-cotrimoxazole-doxycycline. Case 2: A 45-year-old male presented with left lower limb weakness, difficulty in passing urine and stool, and back pain radiating to lower limbs. Neurological examination revealed flaccid left lower limb with absent deep tendon reflexes and plantar reflex. Spinal MRI showed T2 hyperintensity from D9 to L1 suggestive of demyelination. Patient was treated with high dose methylprednisolone. By day 3 of steroid treatment, lower limb weakness progressed. Subsequent MRI showed extensive cord hyperintensity on T2 weighted sequence extending from C5 to conus medullaris consistent with demyelination. Cerebrospinal fluid (CSF) culture grew B. pseudomallei, and the patient was given meropenem-cotrimoxazole. After three weeks of parenteral treatment, the lower limbs remained paralyzed. Patient was discharged on oral cotrimoxazole-doxycycline. Conclusions: Melioidosis should be considered as a differential in focal suppurative central nervous system (CNS) lesions, meningoencephalitis, or encephalomyelitis in endemic areas. CNS infections must be ruled out prior to steroid administration. The role of corticosteroids in demyelinating CNS melioidosis has been refuted. This is a rare documentation of effect of unintentional corticosteroid treatment in melioidosis.

scholarly journals Post spinal meningitis with subdural collection: an uncommon complication after spinal anaesthesia for caesarean section

2018 ◽  
Vol 1 (2) ◽  
pp. 10-14
Author(s):  
Seng Wee Cheo ◽  
Qin Jian Low ◽  
Yee Ann Tan ◽  
Yuen Kang Chia
Keyword(s):  
Caesarean Section ◽  
Spinal Anaesthesia ◽  
Signs And Symptoms ◽  
Emergency Caesarean Section ◽  
Neurological Sequela ◽  
Subdural Collection ◽  
Intravenous Antibiotics ◽  
Spinal Meningitis ◽  
Uncommon Complication

Meningitis after spinal anaesthesia is a rare yet devastating complication of spinal anaesthesia. The exact incidence is unknown. Our patient developed signs and symptoms of meningitis 48 hours after spinal anaesthesia and required intensive care unit admission. Her cerebrospinal fluid was sterile. Computed tomography of brain showed left subdural collection. She recovered well after 6 weeks of intravenous antibiotics. No neurological sequela noted from subsequent follow-up examinations. Our case provides an important insight of meningitis with subdural collection after spinal anaesthesia for emergency caesarean section.

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

2021 ◽  
Vol 14 (6) ◽  
pp. e240110
Author(s):  
Rúben Santos Cardoso ◽  
Sofia Tavares ◽  
Inácio Reis ◽  
José Luís Alves
Keyword(s):  
Multidisciplinary Approach ◽  
Systemic Infection ◽  
Blood Analysis ◽  
Surgical Drainage ◽  
Subdural Collection ◽  
E Coli ◽  
History Of ◽  
The Right ◽  
Burr Holes ◽  
Dural Opening

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. Blood analysis and inflammatory markers were not evocative of a systemic infection. A cranial CT scan was requested, revealing hypodense bilateral hemispheric subdural collections, suggestive of chronic subdural haematomas. He was submitted to surgical drainage by burr holes, which confirmed the chronic subdural collection on the left side. Unexpectedly, after dural opening on the right side, a subdural purulent collection was found, which was later confirmed as an empyema due to Escherichia coli infection. A second surgical drainage was performed by craniotomy due to recurrence of the right subdural collection. Spontaneously appearing subdural empyemas due to E. coli are extremely rare and their treatment is not always straightforward. The reported case is an example of an apparently straightforward and frequent pathology that turned out to be a challenging case, requiring a multidisciplinary approach.

Recent diagnostic experience with subdural empyema

1980 ◽  
Vol 52 (6) ◽  
pp. 764-771 ◽  
Author(s):  
Martin G. Luken ◽  
Margaret A. Whelan
Keyword(s):  
Clinical Presentation ◽  
Ct Scanning ◽  
Clinical Syndrome ◽  
Subdural Empyema ◽  
Low Grade ◽  
Ct Diagnosis ◽  
Radiographic Evidence ◽  
Sinus Disease ◽  
Content Type ◽  
Subdural Collection

✓ The authors review the Neurological Institute experience of six cases of subdural empyema in the 4 years since the introduction there of computerized tomography (CT) scanning. Four patients had no known prior neurological disease, and presented with the classical clinical syndrome of fever, depressed sensorium, and focal seizures; three of these patients had histories or radiographic evidence of sinus disease. The two remaining patients had undergone earlier drainage procedures for chronic subdural hematomas, and presented without neurological symptoms but with low-grade fever and signs of local wound infection. All of the patients of the former (primary) empyema group had technically satisfactory contrasted CT scans at a time when the clinical syndrome was fully developed, and none revealed the subdural collection. Angiograms were performed in three of these cases and were uniformly successful in demonstrating the collections and suggesting their inflammatory natures. Both secondary empyemas were readily visualized by CT, and showed characteristic brightly enhancing membranes. It is concluded that primary and secondary subdural empyemas differ both in clinical presentation and in accuracy of CT diagnosis. In the former group, evidence of sinus disease is suggestive but does not by its absence exclude a purulent subdural collection. In patients with the typical clinical syndrome, reliance on CT is hazardous, and angiography is the diagnostic procedure of choice.

Purulent Subdural Collection

Neurology ◽  
1954 ◽  
Vol 4 (7) ◽  
pp. 558-558 ◽  
Author(s):  
S. A. Jacobson ◽  
C. A. Kane
Keyword(s):  
Subdural Collection

scholarly journals An Unexpected Subdural Collection: Story of a Prostatic Metastasis

2016 ◽  
Vol 14 (4) ◽  
pp. e405-e407 ◽  
Author(s):  
Pierre Bourdillon ◽  
Caroline Apra ◽  
Philippe Cornu ◽  
Dorian Chauvet
Keyword(s):  
Subdural Collection

scholarly journals i-15. Subdural Collection in Infancy

1968 ◽  
Vol 10 ◽  
pp. 183b-184
Author(s):  
Tsutomu IWAKUMA ◽  
Kazuhiko IWASHITA
Keyword(s):  
Subdural Collection

Cerebral Venous Thrombosis and Subdural Collection in a Comatose Patient: Do Not Forget Intracranial Hypotension. A Case Report

2020 ◽  
Vol 60 (10) ◽  
pp. 2583-2588
Author(s):  
Diane Paris ◽  
David Rousset ◽  
Fabrice Bonneville ◽  
Nelly Fabre ◽  
Stanislas Faguer ◽  
...  
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Intracranial Hypotension ◽  
Comatose Patient ◽  
Subdural Collection

HIGH GRADE SARCOMA PRESENTING AS SUBDURAL EMPYEMA: CASE REPORT

2021 ◽  
pp. 54-55
Author(s):  
Ashish Gupta ◽  
Rajesh Kumar Bharti
Keyword(s):  
Case Report ◽  
Subdural Empyema ◽  
High Grade ◽  
Subdural Collection ◽  
High Grade Sarcoma

Sarcoma is very rare, and even more unusual is the association between sarcomas and subdural collection. In this report, we present a case of sarcoma presented as subdural empyema.

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