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Subdural Empyema

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Neuronavigation-Guided Endoscopic Endonasal Drainage of Pediatric Anterior Cranial Base Epidural and Subdural Empyema.

Charles J Touchette, Louis Crevier, Alexander G Weil,

In children, epidural and/or subdural intracranial empyema can complicate frontal sinusitis or pansinusitis. The standard transcranial approach used to treat epidural or subdural empyema has many drawbacks, but these can be avoided with an endoscopic expanded endonasal approach (EEA). To support the feasibility and advantages of this approach, we report ... Read more >>

Pediatr Neurosurg (Pediatric neurosurgery)
[2020, 55(1):67-71]

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A Rare Case of Achromobacter Species Subdural Empyema and Brain Abscess in an Adult Patient with Hematologic Malignancy.

Aristedis Rovlias,

Asian J Neurosurg (Asian journal of neurosurgery)
[2020, 15(1):245-246]

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Spinal Subdural Abscess following Transforaminal Lumbar Interbody Fusion.

Isamu Miura, Motoo Kubota, Oji Momosaki, Kento Takebayashi, Takakazu Kawamata, Masahito Yuzurihara,

Spinal subdural abscesses are rare lesions. We report the case of surgical site infection complicated with meningitis and rapidly progressive spinal subdural abscess caused by P. aeruginosa following transforaminal lumbar interbody fusion (TLIF). A 72-year-old woman was admitted to our hospital complaining of drop foot syndrome and sciatica caused by ... Read more >>

Case Rep Orthop (Case reports in orthopedics)
[2020, 2020:7372821]

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Subdural empyema complicated after trepanation and drainage of chronic subdural hematoma: A case report.

Hang Xue, Weitao Zhang, Lin Shi, Yiming Zhang, Bing Yu, Hongfa Yang,

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 ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(52):e18587]

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Complications of Otitis Media and Sinusitis Caused by Streptococcus anginosus Group Organisms in Children.

J Chase McNeil, James J Dunn, Sheldon L Kaplan, Jesus G Vallejo,

BACKGROUND:The Streptococcus anginosus group (SAG, S. anginosus, S. intermedius and S. constellatus) are often associated with severe disease and abscess formation. In our institution, we observed an apparent increase in frequency of intraorbital and intracranial infections resulting from SAG at Texas Children's Hospital. We undertook a retrospective review to describe ... Read more >>

Pediatr. Infect. Dis. J. (The Pediatric infectious disease journal)
[2020, 39(2):108-113]

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Subdural Empyema in an Immunocompetent Active Duty Soldier: A Case Report.

Rachel E Bridwell, Neil P Larson, Michael J Yoo, Joshua J Oliver,

Intracranial subdural empyema is a rare clinical entity with incidence estimates of 0.1 per 100,000 people. The condition is most often the sequela of a primary infection elsewhere and carries a high morbidity and mortality. The authors present the case of a 22-year-old active duty soldier on mission on the ... Read more >>

Mil Med (Military medicine)
[2019, :]

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Neonatal Meningitis and Subdural Empyema Caused by an Unusual Pathogen.

Anne Marie J M H Keus, Daphne D Peeters, Vincent V Bekker, Karin Ellen K E Veldkamp, Merel Mmc Lambregts, Jantien J Bolt-Wieringa, Sylke S J Steggerda,

We report a case of neonatal meningitis with subdural empyema, caused by Ureaplasma parvum. In this case, diagnosis was made by genus-specific polymerase chain reaction, after regularly used diagnostic techniques failed. This unusual pathogen should be considered in cases that do not respond to therapy and/or where cultures for typical ... Read more >>

Pediatr. Infect. Dis. J. (The Pediatric infectious disease journal)
[2019, 38(12):e329-e331]

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Dural Reconstruction Using Laparoscopic Gastro-omental Free Flap in Refractory Cranial Infections.

Bassem Elfeki, Lan Sook Chang, Byung Kwon Kang, Seokchan Eun,

BACKGROUND:Epidural abscesses and subdural empyema after craniotomy are potentially lethal complications in neurosurgery. Patients with recalcitrant cranial wound infections may be difficult to manage, and dural reconstruction in these patients is challenging. METHODS:A total of 14 patients presented with recurrent intracranial infection after craniotomy. The symptoms and signs included persistent ... Read more >>

Ann Plast Surg (Annals of plastic surgery)
[2020, 84(1):62-67]

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Linezolid for the treatment of postneurosurgical infection caused by methicillin-resistant Staphylococcus.

Lotfi Rebai, Nizar Fitouhi, Mohamed Aziz Daghmouri, Kamel Bahri,

Background:Postneurosurgical infection (PNSI) is a major problem. Linezolid is a bacteriostatic oxazolidinone antibiotic with a highly activity against Gram-positive cocci resistant to methicillin and a good cerebrospinal fluid penetration. The purpose of this study is to evaluate the efficacy of linezolid in the treatment of PNSI caused by methicillin-resistant Staphylococcus ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2019, 10:215]

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1397. Risk Factors of Unfavorable Clinical Outcomes in Patients with Brain Abscess and Subdural Empyema in Korea.

Yunsuk Cho, Sangmin Ahn, Yujin Sohn, Yongseop Lee, Jonghoon Hyun, Woon Ji Lee, Jung Ho Kim, Jin young Ahn, Su Jin Jeong, Nam su Ku, Jun yong Choi, Joon-Sup Yeom, Hye Seong,

AbstractBackgroundBrain abscess is a fatal neurological infection, despite reduction of mortality rate on account of medical improvement. Therefore, we investigated to identify risk factors for poor clinical outcomes of patients with brain abscess and subdural empyema in Korea.MethodsA retrospective analysis was conducted among patients treated for brain abscess or subdural ... Read more >>

Open Forum Infect Dis (Open forum infectious diseases)
[2019, 6(Suppl 2):S508-S508]

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Treatment of CSF leakage and infections of dural substitute in decompressive craniectomy using fascia lata implants and related anatomopathological findings.

Giorgio M Callovini, Andrea Bolognini, Tommaso Callovini, Marco Giordano, Roberto Gazzeri,

Purpose: Decompressive craniectomy (DC) is widely used to treat raised intracranial pressure (ICP) in cranial trauma and stroke. It is accompanied by numerous complications. The aim of our study is to assess the surgical treatment of infections related to the use of a dural substitute with concurrent CSF leakage performed ... Read more >>

Br J Neurosurg (British journal of neurosurgery)
[2020, :1-4]

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Parafalcine subdural empyema: The unresolved controversy over the need for surgical treatment.

Ruth Prieto, Celia Ortega,

Background:Parafalcine subdural empyema (SDE) is a rare entity consisting of pus accumulating below the longitudinal sinus, between the falx cerebri and the arachnoid layer covering the medial surface of the cerebral hemisphere. Its treatment strategy is controversial, but most clinicians have the general belief that appropriate treatment consists of prompt ... Read more >>

Surg Neurol Int (Surgical Neurology International)
[2019, 10:203]

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Successful surgical management of an Escherichia coli epidural-subdural abscess secondary to sino-rhinotomy.

Angharad B Simlett-Moss, Alistair Freeman, Fraser J McConnell, Richard Coe, Daniel Sanchez-Masian,

OBJECTIVE:To describe a case of successful management of epidural-subdural abscess and severe meningitis with secondary brain herniation in a dog. CASE SUMMARY:A rhino-sinusotomy was performed in a 3-year-old mixed-breed dog for management of refractory sinonasal aspergillosis. Initial recovery was good, but the dog became acutely stuporous 36 hours after surgery. ... Read more >>

J Vet Emerg Crit Care (San Antonio) (Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001))
[2019, 29(6):696-701]

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Liver abscess caused by Lawsonella clevelandensis in a patient with rheumatoid arthritis: A case report and literature review.

Jose A Gonzales Zamora, Maria Romero Alvarez, Zachary Henry, Gio J Baracco, Gordon Dickinson, Paola Lichtenberger,

Lawsonella clevelandensis is a recently described anaerobic and partially acid-fast bacterium within the order Corynebacterineae. It is a fastidious microorganism that has been identified as part of the oral microbiota and is rarely associated with human infections. We describe the case of a 70-year-old man with a history of rheumatoid ... Read more >>

IDCases (IDCases)
[2020, 20:e00734]

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Determining the Most Appropriate Assistive Walking Device Using the Inertial Measurement Unit-Based Gait Analysis System in Disabled Patients.

Junhee Lee, Chang Hoon Bae, Aeri Jang, Seoyon Yang, Hasuk Bae,

OBJECTIVE:To evaluate the gait pattern of patients with gait disturbances without consideration of defilades due to assistive devices. This study focuses on gait analysis using the inertial measurement unit (IMU) system, which can also be used to determine the most appropriate assistive device for patients with gait disturbances. METHODS:Records of ... Read more >>

Ann Rehabil Med (Annals of rehabilitation medicine)
[2020, 44(1):48-57]

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Letter to the Editor: Influence of Gender on Occurrence of Chronic Subdural Hematoma; Is It an Effect of Cranial Asymmetry? (Korean J Neurotrauma 2014;10:82-85).

Laurence Marshman,

Korean J Neurotrauma (Korean journal of neurotrauma)
[2019, 15(2):239-240]

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1520. Streptococcus anginosus Group Organisms Are an Increasing Cause of Complicated Sinusitis and Otitis Media in Children.

Jonathan C McNeil, James Dunn, Sheldon L Kaplan, Jesus G Vallejo,

AbstractBackgroundThe Streptococcus anginosus group (SAG), including S. anginosus, S. intermedius and S. constellatus, are common flora of the oral cavity, respiratory tree and gastrointestinal tract. However, these organisms have the potential to cause serious invasive infections and are notably pyogenic. We observed an apparent increase in the frequency of intraorbital ... Read more >>

Open Forum Infect Dis (Open forum infectious diseases)
[2019, 6(Suppl 2):S553-S553]

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Serious bacterial infections and antibiotic prescribing in primary care: cohort study using electronic health records in the UK.

Martin C Gulliford, Xiaohui Sun, Judith Charlton, Joanne R Winter, Catey Bunce, Olga Boiko, Robin Fox, Paul Little, Michael Moore, Alastair D Hay, Mark Ashworth, ,

OBJECTIVE:This study evaluated whether serious bacterial infections are more frequent at family practices with lower antibiotic prescribing rates. DESIGN:Cohort study. SETTING:706 UK family practices in the Clinical Practice Research Datalink from 2002 to 2017. PARTICIPANTS:10.1 million registered patients with 69.3 million patient-years' follow-up. EXPOSURES:All antibiotic prescriptions, subgroups of acute and repeat antibiotic ... Read more >>

BMJ Open (BMJ open)
[2020, 10(2):e036975]

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Endoscopic management of bilateral frontal mucopyoceles: A Case Report and Literature review.

Zainab Alhassan, Fadel Molani, Ali Almomen,

OBJECTIVE:To demonstrate the effectiveness of the endonasal endoscopic approach in managing a large bilateral frontal mucopyocele causing a mass effect on the brain. CASE PRESENTATION:A 17 year old chronic sinusitis patient, presented with bilateral nasal obstruction and increasing left sided headache; was found to have a very large bilateral frontal ... Read more >>

Int J Surg Case Rep (International journal of surgery case reports)
[2020, 68:208-213]

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Check the Ear. The Importance of Ear Examinations in Assessment of Intracranial Subdural Empyema.

Joseph Yoon, Michael Redmond,

Intracranial subdural empyema (ISE) is an uncommon condition previously associated with almost 100% morbidity and mortality. Since the introduction of antibiotics and advancements in diagnosis the complication rates have significantly improved. We report an unusual case of a 32-year-old Aboriginal male diagnosed with ISE. On closer inspection the ISE was ... Read more >>

Trop Med Infect Dis (Tropical medicine and infectious disease)
[2019, 4(3):]

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Postoperative Imaging of Complications Following Cranial Implants.

Chi Long Ho, Louis McAdory,

A wide range of neurosurgical implants, cranioplasty materials and catheters have been developed to treat a variety of intracranial disorders. Interpretation of postoperative imaging can be challenging and confounded by postoperative changes and implant-related complications. Review of recent literature suggested that there is a paucity of data on postoperative cranial ... Read more >>

J Belg Soc Radiol (Journal of the Belgian Society of Radiology)
[2019, 103(1):81]

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A case report of multiple cerebral abscess formation complicating serogroup B Neisseria meningitidis meningitis.

Ciara O'Connor, Aedin Collins, Eilish Twomey, Conor Hensey, John Caird, Patrick J Gavin,

BACKGROUND:Invasive meningococcal disease (IMD) presenting with meningitis causes significant mortality and morbidity. Suppurative complications of serogroup B meningococcal sepsis are rare and necessitate urgent multidisciplinary management to mitigate long-term morbidity or mortality. CASE PRESENTATION:We present a rare case of invasive meningococcal disease in a 28-month old boy complicated by multiple ... Read more >>

BMC Infect. Dis. (BMC infectious diseases)
[2019, 19(1):863]

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A Large Mass Mimicking Calcified Hematoma of the Skull Showing Involvement of Myeloma Cells and a Good Response to Irradiation.

Takamitsu Fujimaki, Sachiko Hirata, Naruhiko Terano, Kenji Wakiya, Masahito Kobayashi,

Patients with multiple myeloma often show skull bone involvement, although in most cases this is manifested as skull erosion and large masses develop only rarely. Here we report a patient who presented with a large cranial mass mimicking a subdural hematoma with calcification. The tumor shrunk with 37.5 Gy of focal ... Read more >>

Surg J (N Y) (Surgery journal (New York, N.Y.))
[2019, 5(4):e159-e162]

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A rare case of Sweet syndrome secondary to melioidosis.

Sahathevan Vithoosan, Balendran Thanushah, Paramarajan Piranavan, Dayal Gamlaksha, Harindra Karunatilake, Ananda Jayanaga,

BACKGROUND:Melioidosis is an emerging infection in South Asia caused by Burkholderia pseudomallei with various clinical presentations that include pneumonia, bacteraemia, arthritis, and deep-seated abscesses. Various cutaneous manifestations have been described in association with melioidosis. However Sweet Syndrome secondary to melioidosis has not been reported in the literature. Herein we describe ... Read more >>

BMC Dermatol. (BMC dermatology)
[2019, 19(1):16]

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Primary Infectious Mononucleosis Masquerading as Post-operative Fever in a Young Patient with Cemento-ossifying Fibroma of the Skull Base.

Ryan M Edelbrock, Bicky Thapa, Michael A Fritz, Pablo Recinos, Hamid Borghei-Razavi,

The typical presentation of infectious mononucleosis (IM) is characterized by a triad of fever, pharyngitis, and lymphadenopathy. Epstein-Barr virus (EBV) is the most common etiologic agent for IM. Humans are the reservoir for EBV, and it is transmitted via intimate contact between individuals. This case presents a 19-year-old male with recurrent ... Read more >>

Cureus (Cureus)
[2019, 11(12):e6327]

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