Primary interhemispheric subdural empyemas: A report of three cases and review of literature

Background Interhemispheric subdural empyema is an uncommon condition and is considered neurosurgical emergency. These are generally seen following neglected otorhinological infection, but may be posttraumatic or iatrogenic in origin. The source of infection can be frequently found, but in few cases...

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Main Authors: Ravindranath Kapu, Anil Pande, M.C. Vasudevan, Ravi Ramamurthi
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2013-01-01
Series:Indian Journal of Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110227
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author Ravindranath Kapu
Anil Pande
M.C. Vasudevan
Ravi Ramamurthi
author_facet Ravindranath Kapu
Anil Pande
M.C. Vasudevan
Ravi Ramamurthi
author_sort Ravindranath Kapu
collection DOAJ
description Background Interhemispheric subdural empyema is an uncommon condition and is considered neurosurgical emergency. These are generally seen following neglected otorhinological infection, but may be posttraumatic or iatrogenic in origin. The source of infection can be frequently found, but in few cases no source of infection can be identified, called idiopathic empyemas. These idiopathic interhemispheric subdural empyemas are even rare. They can present with a rapid progression of symptoms and can carry poor prognosis. Early intervention with craniotomy and appropriate antibiotics can improve the condition of these patients. Materials and Methods We present three cases of idiopathic interhemispheric empyemas who underwent emergency craniotomy and evacuation followed by antibiotics for 6 weeks. Results All the patients had excellent recovery on mean follow-up of 10 years. Conclusion Early diagnosis and treatment of interhemisheric subdural empyema can lead to excellent recovery and outcome.
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spelling doaj-art-d351ff5d43334afcb94ed8a1940a09fd2025-08-20T02:04:18ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672013-01-01020106607010.4103/2277-9167.110227Primary interhemispheric subdural empyemas: A report of three cases and review of literatureRavindranath KapuAnil PandeM.C. VasudevanRavi RamamurthiBackground Interhemispheric subdural empyema is an uncommon condition and is considered neurosurgical emergency. These are generally seen following neglected otorhinological infection, but may be posttraumatic or iatrogenic in origin. The source of infection can be frequently found, but in few cases no source of infection can be identified, called idiopathic empyemas. These idiopathic interhemispheric subdural empyemas are even rare. They can present with a rapid progression of symptoms and can carry poor prognosis. Early intervention with craniotomy and appropriate antibiotics can improve the condition of these patients. Materials and Methods We present three cases of idiopathic interhemispheric empyemas who underwent emergency craniotomy and evacuation followed by antibiotics for 6 weeks. Results All the patients had excellent recovery on mean follow-up of 10 years. Conclusion Early diagnosis and treatment of interhemisheric subdural empyema can lead to excellent recovery and outcome.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110227craniotomyinterhemispheric subdural empyemaneurosurgical emergencyprimary empyemas
spellingShingle Ravindranath Kapu
Anil Pande
M.C. Vasudevan
Ravi Ramamurthi
Primary interhemispheric subdural empyemas: A report of three cases and review of literature
Indian Journal of Neurosurgery
craniotomy
interhemispheric subdural empyema
neurosurgical emergency
primary empyemas
title Primary interhemispheric subdural empyemas: A report of three cases and review of literature
title_full Primary interhemispheric subdural empyemas: A report of three cases and review of literature
title_fullStr Primary interhemispheric subdural empyemas: A report of three cases and review of literature
title_full_unstemmed Primary interhemispheric subdural empyemas: A report of three cases and review of literature
title_short Primary interhemispheric subdural empyemas: A report of three cases and review of literature
title_sort primary interhemispheric subdural empyemas a report of three cases and review of literature
topic craniotomy
interhemispheric subdural empyema
neurosurgical emergency
primary empyemas
url http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110227
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