1,387 results match your criteria: "Subdural Empyema"

Silent otitis media with multiple intracranial complications.

BMJ Case Rep

December 2024

Department of Otorhinolaryngology, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth- Deemed to be-University, Pondicherry, India.

Article Synopsis
  • A 40-year-old man with no prior health issues presented with a 5-day history of swelling behind his right ear, along with a previous episode of ear pain two months earlier.
  • Examination and imaging revealed right otomastoiditis, which is an infection of the mastoid bone, along with serious complications like a bony defect and brain abscesses.
  • After starting intravenous antibiotics and undergoing surgery to drain the abscess, he had a cortical mastoidectomy three weeks later and has had no further health complaints during regular follow-ups over the past six months.
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Objective: To present a new technique for the management of subdural empyema to promote resolution and prevent recurrence.

Background: Classic treatment for subdural empyema (SDE) has consisted of antibiotics and surgical treatment with either craniotomy or burrholes. There are still several complications that persist after current treatment, including relatively high rates of morbidity and mortality.

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Article Synopsis
  • An anaerobic coagulase-negative staphylococcal species, typically a harmless skin microbe, can rarely cause serious infections, including subdural empyema, a severe condition requiring immediate medical intervention.
  • A 54-year-old man with no significant health issues developed impaired consciousness due to a subdural hematoma, which was treated through urgent surgical drainage and culture revealed the presence of this specific bacteria.
  • The patient successfully recovered after receiving antibiotics, highlighting the need to recognize this microbe as a potential cause of subdural empyema and the importance of prolonged anaerobic cultures for better infection detection.
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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:

Article Synopsis
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Article Synopsis
  • - Subdural empyema can be caused by various pathogens, with symptoms like fever, headache, seizures, and altered mental status.
  • - Infections of the central nervous system by Salmonella are rare, making this case significant as the first reported instance.
  • - The patient was successfully treated with a surgical burr hole and drainage, along with 56 days of specific antimicrobial therapy using intravenous Ceftriaxone.
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: an underestimated pathogen in brain infection?

Future Microbiol

November 2024

UCL Respiratory, Division of Medicine, University College London, London, WC1E 6JF, UK.

is an oral commensal organism belonging to the group (SAG). causes periodontitis as well as invasive, pyogenic infection of the central nervous system, pleural space or liver. Compared with other SAG organisms, has a higher mortality as well as a predilection for intracranial infection, suggesting it is likely to possess virulence factors that mediate specific interactions with the host resulting in bacteria reaching the brain.

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Complications of Cholesteatoma.

Otolaryngol Clin North Am

February 2025

Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Department of Otolaryngology, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213, USA. Electronic address:

Complications of cholesteatoma result from characteristic inflammatory and resorptive processes that erode the structures of the middle and inner ear with potential to spread locally. Common intratemporal complications include hearing loss, facial nerve palsy, labyrinthine fistula, and dysgeusia. Extratemporal complications, though less common, may be life-threatening, and include cerebrospinal fluid leak and encephalocele, meningitis, epidural and intraparenchymal abscesses, subdural empyema, and otic hydrocephalus.

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Streptococcus suis, a bacterium commonly found in pigs, causes infections in humans through direct contact with infected animals or consumption of contaminated pork products. Recently, a localized outbreak of S. suis infection in humans resulted in three confirmed cases.

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Article Synopsis
  • 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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A Case of Pyocephalus, Subdural Empyema, and Diffuse Leptomeningitis in an Elderly Male: A Case Report.

J Assoc Physicians India

October 2024

Director and Chief Consultant, Institute of Infectious Diseases; Consultant, Department of Internal Medicine, Poona Hospital and Research Centre, Pune, Maharashtra, India.

Article Synopsis
  • * This particular strain of bacteria has rarely been documented globally, with no previous cases recorded in India.
  • * The patient, who had diabetes, experienced severe symptoms and required emergency treatment, including hydrocephalus management and a lengthy course of intravenous antibiotics (ampicillin and vancomycin).
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With the increase in autism diagnoses in recent years due to improved public and clinical awareness, the association between autism and mental health has emerged as an important issue for patients and their caregivers. Although many with autism spectrum disorder also have coexisting mental health conditions, there exist differences in the presentation and etiology of these symptoms. This case report explains an interaction with a 17-year-old adolescent autistic male with a history of mild depression who was found non-responsive in the shower at home.

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Article Synopsis
  • Intracranial subdural empyema is a serious condition where pus builds up between the brain and its protective layer, often due to bacterial or fungal infections, and can lead to severe symptoms including headaches and confusion.
  • Diagnosis is made using imaging techniques like MRI and CT scans; treatment typically involves urgent surgery to drain the empyema and antibiotic therapy to treat the infection.
  • A case study of a 45-year-old man who faced repeated ER visits for worsening lethargy shows that quick medical intervention can significantly improve patient outcomes in this critical situation.
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Article Synopsis
  • Vascular complications from sphenoid sinusitis are uncommon because the mucosa and bone act as barriers, but certain conditions like dehiscence or aggressive infections can increase risks, potentially leading to severe issues like cavernous sinus thrombosis.
  • Untreated or severe cases of sphenoid sinusitis can result in serious neurological problems, including cerebral infarcts, meningitis, and cranial nerve injuries, which can be detected early with MRI and angiography.
  • A reported case of an 11-year-old boy illustrates these risks, as he experienced multiple complications from sphenoid sinusitis, including a cerebral artery infarct and various types of thrombosis due to associated mastoiditis.
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Objective: Sinogenic intracranial infections in children, such as subdural empyema or intracranial abscess, are a rare disease process with significant associated morbidity. Recent literature has suggested that there may have been an increase in frequency of these infections following the COVID-19 pandemic, but the literature has been conflicting, perhaps related to the heterogenous management of COVID-19 lockdowns in various states and differences in data capture between methods. The collection of statewide Australian data overcomes these limitations by capturing a comprehensive sample though the public healthcare system of patients who were subject to a homogeneous statewide approach to public health policy during the COVID-19 pandemic (population 5.

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Article Synopsis
  • - 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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Background: Subdural empyema is an extremely rare and fatal intracranial complication of chronic otitis media. Due to its rarity and vague symptoms, it is often diagnosed late if not completely missed; specially in developing countries where the diagnostic modalities are hardly available or accessible. To the best knowledge of the authors, this is a preliminary reported case of subdural empyema as a complication of chronic otitis media in Eritrea.

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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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Article Synopsis
  • A case report of primary dural lymphoma in a 51-year-old man, who developed it after treatment for subdural empyema, highlighting the link between chronic inflammation and lymphoma.
  • The patient initially presented with symptoms that suggested a chronic subdural hematoma, but further investigation led to the diagnosis of B-cell lymphoma.
  • The case emphasizes the need to consider lymphoma as a possible cause of subdural hematomas when there is no clear underlying pathology.
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Neurobrucellosis is a rare complication of brucella infection which presents as meningitis, meningoencephalitis, subdural empyema, brain abscess, myelitis, and radiculo- neuritis. We report the first case of neurobrucellosis presenting as an infected cerebellopontine cistern epidermoid cyst in a young immunocompetent male who presented with fever and acute raised intracranial pressure. MRI brain showed an extra-axial mass in the right cerebellopontine angle cistern with peripheral rim enhancement and diffusion restriction.

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