Hendaus Mohammed A
Hamad Medical Corporation.
Glob J Health Sci. 2013 Aug 14;5(6):54-9. doi: 10.5539/gjhs.v5n6p54.
Subdural Empyema in infants and children might be life threatening if not managed properly. A search of the Pub Med database was carried out using a combination of the following terms: Subdural empyema, children, and management. Neurosurgical textbooks were reviewed as well. The prevalence, etiology, clinical features, investigations and management of SDE are reviewed in this article. Conservative management with antibiotics and follow up imaging is recommended if there are no focal deficits, change in mental status or if the patient is responding well to antibiotics. Alternatively, craniotomy is warranted in addition to antibiotics therapy. The surgeon might opt for burr holes in case the patient is frail or in septic shock.
婴幼儿和儿童的硬脑膜下积脓若处理不当可能危及生命。我们使用以下术语组合在PubMed数据库中进行了检索:硬脑膜下积脓、儿童和处理。同时也查阅了神经外科学教科书。本文对硬脑膜下积脓的患病率、病因、临床特征、检查及处理进行了综述。如果没有局灶性神经功能缺损、精神状态改变,或者患者对抗生素反应良好,建议采用抗生素保守治疗并进行后续影像学检查。另外,除抗生素治疗外,还需进行开颅手术。如果患者身体虚弱或处于感染性休克状态,外科医生可能会选择钻孔引流。