Lee Seok Ki, Kim Seok Won
Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University, Gwangju, Korea.
J Korean Neurosurg Soc. 2011 Mar;49(3):175-7. doi: 10.3340/jkns.2011.49.3.175. Epub 2011 Mar 31.
Subdural empyema is a rare form of intracranial sepsis associated with high morbidity and mortality. The most frequent cause is extension of paranasal sinusitis through emissary veins or of mastoiditis through the mucosa, bone, and dura mater. Development of subdural empyema after pyogenic meningitis is known to be very unusual in adults. We report a rare case of fatal subdural empyema, an unusual complication of pyogenic meningitis. Our bitter experience suggests that subdural empyema should be borne in mind in patient with pyogenic meningitis who exhibit neurological deterioration.
硬脑膜下积脓是一种罕见的颅内脓毒症形式，具有较高的发病率和死亡率。最常见的病因是鼻窦炎通过导静脉蔓延，或乳突炎通过黏膜、骨质和硬脑膜蔓延。已知化脓性脑膜炎后发生硬脑膜下积脓在成年人中非常罕见。我们报告了一例罕见的致命性硬脑膜下积脓病例，这是化脓性脑膜炎的一种不寻常并发症。我们惨痛的经历表明，对于出现神经功能恶化的化脓性脑膜炎患者，应考虑到硬脑膜下积脓的可能。
