Fulminant Subdural Empyema Treated With a Wide Decompressive Craniectomy and Continuous Irrigation

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概要

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• A 56-year-old male presented with fulminant subdural empyema manifesting as rhinorrhea, periorbital cellulitis, fever, convulsions, and consciousness disturbance. Neuroimaging showed pansinusitis with skull destruction and extensive subdural empyema. Decompressive craniectomy, irrigation of the empyema, and subdural drainage were performed. Endoscopic sinus surgery was performed to remove the source of infection at the same time. Streptococcus mulleri was cultured from the pus. Continuous irrigation of the subdural space with saline containing gentamicin for 7 days resulted in prompt elimination of pus and debris. The patient was discharged with only a slight neurological deficit.

• 日本脳神経外科学会の論文
• 2002-09-15

著者

• Wada Yuji

  Department Of Applied Chemistry Graduate School Of Science And Engineering Tokyo Institute Of Techno

• Kobayashi Hidenori

  Department Of Civil Engineering Saitama University

• Isono Mitsuo

  Department Of Brain And Nerve Science Oita Medical University

• Kubo Takeshi

  Department Of Endovascular Neurosurgery Toranomon Hospital

• ASANO Tomoshige

  Departments of Neurosurgery, Kenwakai Otemachi Hospital

• SENDA Naoyuki

  Departments of Otorhinoloryngology, Kenwakai Otemachi Hospital

• Senda Naoyuki

  Departments Of Otorhinoloryngology Kenwakai Otemachi Hospital

• Asano Tomoshige

  Departments Of Neurosurgery Kenwakai Otemachi Hospital

• Wada Yuji

  Departments Of Neurosurgery Kenwakai Otemachi Hospital

• Kobayashi Hidenori

  Department Of Brain And Nerve Science Oita Medical University

• Kubo Takeshi

  Departments Of Neurosurgery Kenwakai Otemachi Hospital

• Kubo Takeshi

  Department Of Biochemistry Kyushu University School Of Medicine

• Asano Tomoshige

  Department Of Neurosurgery Nagatomi Neurosurgical Hospital

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