Prasad A, Madan V S, Suri M L, Buxi T B
Department of Neurosciences, Sir Ganga Ram Hospital, New Delhi, India.
Childs Nerv Syst. 1992 May;8(3):142-3. doi: 10.1007/BF00298271.
The authors report a rare case of cryptogenic osteomyelitis of the skull with an intracerebral and a subgaleal abscess. Total excision of the abscess extending from the cortical surface to the lateral ventricle led to ventriculitis and subgaleal cerebrospinal fluid collection. These complications could have been avoided by aspirating the abscess after removing the infected portion of the skull and the epidural granulation tissue. Neurosurgeons preferring to excise such an abscess should leave a small area of capsule at the base in order to avoid having to open the ventricle.
作者报告了一例罕见的颅骨隐源性骨髓炎合并脑内和帽状腱膜下脓肿的病例。从皮质表面延伸至侧脑室的脓肿全切导致了脑室炎和帽状腱膜下脑脊液聚集。在切除颅骨感染部分和硬膜外肉芽组织后抽吸脓肿，这些并发症本可避免。倾向于切除此类脓肿的神经外科医生应在脓肿底部保留一小部分包膜，以避免打开脑室。
