Xue H, Zhang W, Shi L, Zhang Y, Yu B, Yang H. Subdural empyema complicated after trepanation and drainage of chronic subdural hematoma: A case report.
Medicine (Baltimore) 2019;
98:e18587. [PMID:
31876760 PMCID:
PMC6946330 DOI:
10.1097/md.0000000000018587]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
Chronic subdural hematoma (CSDH) is one of the most common neurosurgical diseases. However, complicated subdural empyema rarely occurs after trepanation and drainage of chronic subdural hematoma.
PATIENT CONCERNS
A male patient (77 years old) was admitted to the hospital on the 2nd day of fever after an undergoing a "trepanation and drainage of chronic subdural hematoma" operation at a local hospital. After admission, the patient was treated with an emergency operation in which a subdural abscess was diagnosed and then administered antibiotics after the operation.
DIAGNOSIS
According to the clinical manifestations, intraoperative findings of imaging examination and the results of pus culture, the diagnosis was subdural empyema.
INTERVENTION
We surgically removed the subdural empyema. Postoperative antibiotics were administered according to the results of bacterial culture.
OUTCOMES
At 3 months after the operation, the patient returned to the hospital for reexamination and was found to have achieved a good recovery and good self-care.
LESSONS
Subdural empyema after trepanation and drainage of chronic subdural hematoma is a very rare and severe disease. Early diagnosis and operative intervention as well as the intravenous administration of antibiotics can improve the prognosis of patients and enhance their quality of life.
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