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Child's Nervous System

, Volume 34, Issue 10, pp 1881–1887 | Cite as

Subdural empyema in children

  • Dattatraya MuzumdarEmail author
  • Naresh Biyani
  • Chandrashekhar Deopujari
Special Annual Issue

Abstract

Background

Subdural empyema denotes the collection of purulent material in the subdural spaceand is commonly seen in infants and older children. In infants, the most common cause is bacterialmeningitis. In older children, sinusitis and otitis media are usually the source for subdural empyema. Theclinical symptomatology is varied and has a wide range including prolonged or recurrent fever, seizures,meningeal irritation, and raised intracranial pressure. It can mimic as well as complicate meningitis and aheightened clinical awareness is therefore paramount.

Aims and Objectives

The clinical profile, etiopathogenesis, imaging features and management of subdural empyema in children is discussed and the relevant literature is reviewed.

Conclusion

Subdural empyema is a neurosurgical emergency and rapid recognition and treatment canavoid life-threatening complications. In most cases, surgical decompression through burr hole or craniotomyis warranted. Near complete evacuation of the purulent material and appropriate long-term intravenous antibiotics are necessary for a gratifying outcome.

Keywords

Burr hole Craniotomy Empyema Pediatric Subdural 

Notes

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Dattatraya Muzumdar
    • 1
    Email author
  • Naresh Biyani
    • 2
  • Chandrashekhar Deopujari
    • 2
  1. 1.Department of NeurosurgeryKing Edward VII Memorial hospitalMumbaiIndia
  2. 2.Department of Pediatric NeurosurgeryBai Jerbai Wadia hospital for ChildrenMumbaiIndia

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