快速进展的大脑半球间硬膜下积脓在12小时内体积增大三倍：病例报告
Rapidly progressing interhemispheric subdural empyema showing a three-fold increase in size within 12 hours: Case report.
作者信息
Yüksel Mehmet O, Gürbüz Mehmet S, Karaarslan Numan, Caliskan Tezcan
机构信息
Department of Neurosurgery, Erzurum Bolge Training and Research Hospital, Erzurum, Turkey.
Department of Neurosurgery, Safa Hospital, Istanbul, Turkey.
出版信息
Surg Neurol Int. 2016 Nov 21;7(Suppl 37):S872-S875. doi: 10.4103/2152-7806.194495. eCollection 2016.
BACKGROUND
Subdural empyema is a rare form of intracranial infection. It is described as accumulation of purulent infective material between the inner layer of dura mater and outer layer of arachnoid membrane.
CASE DESCRIPTION
A 17-year-old girl was admitted to the emergency department with acute left hemiplegia and was diagnosed with interhemispheric subdural empyema that showed a three-fold increase in size within 12 hours. Complete recovery was achieved with emergency surgical evacuation and additional 3 weeks of antibiotic treatment.
CONCLUSION
Subdural empyema should be diagnosed and managed early in time since it may progress very rapidly and can cause high morbidity and mortality. Complete recovery can be achieved if it is diagnosed early and treated in time.
背景
硬脑膜下积脓是一种罕见的颅内感染形式。它被描述为硬脑膜内层与蛛网膜外层之间脓性感染物质的积聚。
病例描述
一名17岁女孩因急性左偏瘫入住急诊科，被诊断为大脑镰旁硬脑膜下积脓，其大小在12小时内增大了三倍。通过紧急手术引流和额外3周的抗生素治疗，患者完全康复。
结论
硬脑膜下积脓应尽早诊断和处理，因为其进展可能非常迅速，会导致高发病率和死亡率。如果能早期诊断并及时治疗，可实现完全康复。
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