Weisberg L
Arch Neurol. 1986 May;43(5):497-500. doi: 10.1001/archneur.1986.00520050069025.
The clinical and computed tomographic (CT) findings in 15 patients with subdural empyema (SDE) were analyzed. Seven children with meningitis later developed focal neurologic signs of SDE. The CT scans showed prominent subdural lesions with medial membrane enhancement; only one child had a parenchymal lesion, which represented a brain abscess. Two lesions were multiloculated, which was delineated by the CT finding of medial enhancing bands separating the compartments of the hypodense lesions. Of eight adolescents and adults with SDE, seven had sinusitis. These patients presented initially with fever and meningeal signs in addition to altered levels of consciousness. They latter developed focal neurologic signs or seizures. In seven cases, CT showed hemispheric mass effect with a thin subdural lesion and a medial enhancing membrane. One scan showed a prominent subdural lesion with minimal hemispheric mass effect.
对15例硬膜下积脓（SDE）患者的临床及计算机断层扫描（CT）结果进行了分析。7例患脑膜炎的儿童随后出现了SDE的局灶性神经体征。CT扫描显示硬膜下病变明显，内侧膜强化；只有1名儿童有实质性病变，表现为脑脓肿。2个病变为多房性，CT表现为内侧强化带将低密度病变分隔成多个腔室。在8例患有SDE的青少年和成人中，7例有鼻窦炎。这些患者最初除意识水平改变外，还出现发热和脑膜刺激征。他们随后出现局灶性神经体征或癫痫发作。7例CT显示半球占位效应，伴有薄的硬膜下病变和内侧强化膜。1次扫描显示硬膜下病变明显，半球占位效应最小。
