Subdural Empyema

Sinusitis-induced subdural empyema.

“…Seven of our 10 children had a lumbar puncture, including two with papilloedema. All had the typical picture associated with a subdural empyema,3 of a mild pleocytosis, usually with lO-I00x 109/l white cells and sterile culture (see table 3). No patient had any side effects from the lumbar puncture.…”

Sinusitis-induced subdural empyema.

“…Seven of our 10 children had a lumbar puncture, including two with papilloedema. All had the typical picture associated with a subdural empyema,3 of a mild pleocytosis, usually with lO-I00x 109/l white cells and sterile culture (see table 3). No patient had any side effects from the lumbar puncture.…”

Evaluating Complications of Chronic Sinusitis

“…Medical management includes empiric antibiotic coverage with a third-generation cephalosporin and metronidazole [3, 9]. While aggressive broad-spectrum antibiotic treatment is universally accepted, it is important to realize that it is not an alternative to surgical management, and proper drainage of an epidural abscess should be carried out without delay [10, 11]. …”

Parietal subdural empyema as complication of acute odontogenic sinusitis: a case report

“…Although magnetic resonance imaging (MRI) is more sensitive in showing parenchymal abnormalities such as abscess [13], cranial CT is often the first neuroimaging done in emergency and gold standard for visualization of the paranasal sinuses and associated bony abnormalities. In early cases of subdural empyema, CT might not show a fluid collection [26-28], so consideration should be given to repeated CT imaging or MRI as the clinical scenario dictates. As shown by our case, CT evidenced the empyema as a thin, hypodense subdural lesion, with linear enhancement of the medial surface (Figure 3a and b).…”

“…In fact, the results are not specific and a neurological deterioration and transtentorial herniation after lumbar puncture are well described, and have led to death [1,26,28]. …”

Sinusitis-induced subdural empyema.

“…Seven of our 10 children had a lumbar puncture, including two with papilloedema. All had the typical picture associated with a subdural empyema,3 of a mild pleocytosis, usually with lO-I00x 109/l white cells and sterile culture (see table 3). No patient had any side effects from the lumbar puncture.…”

Evaluating Complications of Chronic Sinusitis

“…Medical management includes empiric antibiotic coverage with a third-generation cephalosporin and metronidazole [3, 9]. While aggressive broad-spectrum antibiotic treatment is universally accepted, it is important to realize that it is not an alternative to surgical management, and proper drainage of an epidural abscess should be carried out without delay [10, 11]. …”

Parietal subdural empyema as complication of acute odontogenic sinusitis: a case report

“…Although magnetic resonance imaging (MRI) is more sensitive in showing parenchymal abnormalities such as abscess [13], cranial CT is often the first neuroimaging done in emergency and gold standard for visualization of the paranasal sinuses and associated bony abnormalities. In early cases of subdural empyema, CT might not show a fluid collection [26-28], so consideration should be given to repeated CT imaging or MRI as the clinical scenario dictates. As shown by our case, CT evidenced the empyema as a thin, hypodense subdural lesion, with linear enhancement of the medial surface (Figure 3a and b).…”

“…In fact, the results are not specific and a neurological deterioration and transtentorial herniation after lumbar puncture are well described, and have led to death [1,26,28]. …”

Sinusitis-induced subdural empyema.

“…Seven of our 10 children had a lumbar puncture, including two with papilloedema. All had the typical picture associated with a subdural empyema,3 of a mild pleocytosis, usually with lO-I00x 109/l white cells and sterile culture (see table 3). No patient had any side effects from the lumbar puncture.…”

Evaluating Complications of Chronic Sinusitis

“…Medical management includes empiric antibiotic coverage with a third-generation cephalosporin and metronidazole [3, 9]. While aggressive broad-spectrum antibiotic treatment is universally accepted, it is important to realize that it is not an alternative to surgical management, and proper drainage of an epidural abscess should be carried out without delay [10, 11]. …”

Parietal subdural empyema as complication of acute odontogenic sinusitis: a case report

“…Although magnetic resonance imaging (MRI) is more sensitive in showing parenchymal abnormalities such as abscess [13], cranial CT is often the first neuroimaging done in emergency and gold standard for visualization of the paranasal sinuses and associated bony abnormalities. In early cases of subdural empyema, CT might not show a fluid collection [26-28], so consideration should be given to repeated CT imaging or MRI as the clinical scenario dictates. As shown by our case, CT evidenced the empyema as a thin, hypodense subdural lesion, with linear enhancement of the medial surface (Figure 3a and b).…”

“…In fact, the results are not specific and a neurological deterioration and transtentorial herniation after lumbar puncture are well described, and have led to death [1,26,28]. …”