588 results match your criteria: "Epidural and Subdural Infections"

The impact of endoscopic sinus surgery in pediatric patients with sinogenic intracranial infection: A systematic review and meta-analysis.

Int J Pediatr Otorhinolaryngol

December 2024

The Hospital for Sick Children, Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada, M5G 1X8. Electronic address:

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Article Synopsis
  • The study is a retrospective analysis investigating the effectiveness of single bolus cisternal urokinase in treating patients with saccular aneurysms and subarachnoid hemorrhages from January 2007 to December 2019.
  • It found that administering urokinase during surgical clipping led to better outcomes in terms of reduced vasospasm, lower mortality rates, and fewer permanent CSF diversions compared to endovascular treatment methods, especially in patients with higher Fisher grades.
  • Overall, the findings suggest that this treatment is safe and beneficial without significantly increasing complications like hemorrhages or infections.
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  • The study investigates complications like skin dehiscence after cranial neurosurgery, which can lead to serious infections.
  • It involves a retrospective analysis of 24 patients who required both neurosurgery and plastic surgery for skin reconstruction from 2017 to 2023, measuring defect sizes using ImageJ software.
  • Results showed a 33.3% complication rate post-surgery, with a successful permanent wound closure achieved for all cases following the established treatment protocol.
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  • Spinal subdural empyemas are rare but serious conditions that can lead to rapid neurological decline, including paralysis and sensory loss, with uncertain causes.
  • The article presents a unique case of this condition in an otherwise healthy patient, highlighting the challenges faced in diagnosing and treating it.
  • Effective management relies on quick recognition, imaging to confirm the empyema's location, surgery to remove it, and starting antibiotics, with intraoperative ultrasonography suggested as a helpful tool during surgery.
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Massive calvarial melioidosis abscess following minor trauma in rural areas of Thailand.

Surg Neurol Int

September 2024

Department of Department of Neurosurgery, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, Mexico.

Article Synopsis
  • Melioidosis is a rare but serious infection found mainly in Southeast Asia and Northern Australia, often leading to severe complications if not treated promptly.
  • A 62-year-old diabetic man developed epilepsy due to a melioidosis infection after a head injury, requiring a surgical procedure to remove an abscess and subsequently treated with antibiotics, leading to full recovery.
  • Early recognition and treatment of melioidosis are crucial, especially in high-risk patients or those with relevant travel history, to ensure a good recovery outcome.
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Perspective: Risks/adverse events for epidural spinal injections.

Surg Neurol Int

September 2024

Assistant Clinical Professor of Orthopedics, NYU Langone Hospital, Long Island, NY, USA, 1122 Franklin Avenue Suite 106, Garden City, NY, USA.

Article Synopsis
  • Cervical and lumbar epidural spinal injections are commonly used in the US for back pain despite not having FDA approval, yet studies show they offer little to no short-term or long-term benefits compared to placebos.* -
  • Adverse events (AE) are more frequent and severe with cervical injections, particularly transforaminal (C-TFESI), leading to issues like respiratory distress, paralysis, and infections, while lumbar injections have their own set of risks.* -
  • Overall, the effectiveness of these injections is questioned, as most research indicates they do not significantly improve patient outcomes compared to other treatments like saline or local anesthetics.*
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The popularity of electric scooters (ES) during the last five years due to climate neutrality and public availability led to increased numbers in traffic accidents with significant injuries. This study was conducted to overview e-scooter related computed tomography (CT) positive traumatic brain injuries, exploring circumstances, clinical course, outcomes and possible relations to behavioral patterns. We retrospectively reviewed medical data of all patients treated in our center during the period 2019 to 2023, medical records were analysed and statistically processed.

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  • Rhinosinusitis, although mostly an inflammatory condition of the sinuses, can rarely lead to serious complications like intracranial hemorrhage, often resulting in severe outcomes.
  • A systematic review found 21 total cases of intracranial hemorrhage linked to rhinosinusitis—primarily epidural hematomas in the frontal region, with common symptoms including headaches and fever.
  • Management of these rare cases typically involves surgical intervention and antibiotics, but the condition can still lead to neurological impairments or fatalities, underscoring the importance of awareness in clinical settings.*
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  • - After COVID-19 restrictions were lifted, researchers noticed a significant rise in pyogenic infections in children, leading to a retrospective analysis of invasive bacterial infections over five years from 2018-2023.
  • - The study was conducted at two pediatric emergency departments and included various infections such as mastoiditis and brain abscesses, with electronic medical records being used for data collection.
  • - Results showed a notable increase in cases, with a total of 63 infections in the 2022-2023 period, particularly highlighting a staggering 120% rise in thoracic empyema compared to the previous year, suggesting a connection to relaxed social distancing measures.
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Objective: Intracranial complications of acute bacterial sinusitis are rare pathologies that occur in children, and are associated with significant neurological morbidity and mortality. There is a subjective concern among neurosurgeons that the incidence of this rare disease has increased since the onset of the novel COVID-19 pandemic. The primary objective of this study was to review the presentation and management of patients admitted at the authors' institution with intracranial extension of sinusitis, to better understand the local disease burden relative to the COVID-19 pandemic.

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Introduction: Depressed skull fractures occur when a portion of the skull is displaced inward towards the brain, leading to complications such as intracranial hematoma, brain contusion, and intracranial infection. Managing these fractures necessitates a multidisciplinary approach, with postoperative management and rehabilitation playing crucial roles in optimizing patient outcomes. This study aimed to assess the predictive factors and outcomes of patients who underwent surgical treatment for depressed skull fractures.

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Objective: Intracranial complications of pediatric sinusitis are uncommon but are often associated with significant morbidity, especially when appropriate care is delayed. The present study aimed to identify commonalities for the development and progression of these complications in the pediatric population.

Data Sources: CENTRAL, CINAHL, Citation searching, ClinicalTrials.

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Introduction: Intracranial empyema is a rare but serious and life-threatening infection. It is an accumulation of purulent material in the subdural or extradural space leading to development of subdural empyema or intracranial epidural abscess, respectively. The incidence of morbidity and mortality is high because the diagnosis is often unsuspected.

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Background And Objectives: Although cranioplasty (CP) is a relatively straightforward surgical procedure, it is associated with a high complication rate. The optimal timing for this surgery remains undetermined. This study aimed to identify the most suitable timing for CP to minimize postoperative complications.

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According to the literature, acute otitis media is complicated by mastoiditis in 0.15-1% of cases. In turn, mastoiditis can be complicated by meningitis, encephalitis, abscess of temporal lobe of brain and cerebellum, epidural and subdural abscesses, facial nerve paresis, labyrinthitis, phlegmon of soft tissues of neck, as well as subperiosteal abscess, which makes 7% in the structure of mastoiditis complications.

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Objective: To explore the application and key points of microchannel approaches in resection of cervical intraspinal tumors.

Methods: A retrospective analysis was performed on 51 cases of cervical spinal canal tumors from February 2017 to March 2020. Among them, 5 cases were located epidural space, 6 cases were located epidural and subdural space, and 40 cases were located under the subdural extramedullary space(6 cases were located on the ventral side of the spinal cord).

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A 2.5-year-old spayed female Chihuahua dog was presented with chronic cervical pain and exhibited a "prayer-like position" following a history of a 4-meter fall. CT and MRI revealed a moderate right-sided enlargement of the subdural space with cerebrospinal fluid, consistent with a subdural hygroma, appearing connected to a quadrigeminal cistern dilation.

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A spinal epidural abscess (SEA) is a rare infection characterized by pus formation in the spinal epidural space, associated with various degrees of motor, sensory, or combined deficits. It is linked to several risk factors and predominantly impacts middle-aged men. This report discusses an atypical case of a patient without any predisposing factors who developed a cervicothoracic SEA associated with significant transverse myelitis.

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Comparison of burr hole drainage and craniotomy for acute liquid epidural hematoma in pediatric patients.

Childs Nerv Syst

May 2024

Neurosurgery of the First Affiliated Hospital of Nanyang Medical College, 46 Chezhan South Road (Intersection of Zhongzhou Road and Chezhan Road), Nanyang City, Henan Province, 473007, China.

Article Synopsis
  • This study aimed to compare the effectiveness of two surgical methods, burr hole drainage and craniotomy, for treating acute liquid epidural hematoma in children.
  • A total of 21 pediatric patients were analyzed, with the burr hole drainage group experiencing significantly shorter operation times (33.38 minutes) and hospital stays (9.85 days) compared to the craniotomy group (74.25 minutes and 13.38 days, respectively).
  • The results indicated that burr hole drainage led to better clinical outcomes, as evidenced by improved Glasgow Coma Scale scores, and no severe complications were reported in either group.
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Background: Traumatic brain injury is a leading cause of mortality and morbidity in Africa. Craniotomy is the surgical standard for acute extra-axial hematomas that is not realistic in LMIC due to deficient human and operative resources. Burr hole surgery may be an alternative in resource-limited settings.

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Craniotomies are intricate neurosurgical procedures susceptible to post-operative complications, among which surgical site infections (SSIs) are particularly concerning. This study sought to elucidate the potential risk factors and pathogenetic characteristics associated with SSIs following craniotomy procedures in a clinical setting. A retrospective study was conducted from May 2020 to May 2023, examining patients subjected to elective or emergency craniotomies.

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