Goñi M, Parajua J L, Jiménez M, Feijoo M
Neurologia. 1986 Sep-Oct;1(5):223-5.
A young man who initially presented right maxillary sinusopathy which was treated with antibiotics, developed meningeal syndrome in association with focal neurological signs followed by focal tonoclonic convulsions which subsequently became general. Computed tomography confirmed the presence of a left parasagittal and right frontal subdural empyema. Medical treatment with antibiotics, dexamethasone and anticonvulsants resulted in rapid clinical and radiologic improvement in both the sinuses and brain images. The diagnostic and therapeutic aspects are discussed and medical treatment recommended as the first step in the therapy of subdural empyema when there is no other critical neurological situation.
一名最初表现为右上颌窦病变并接受抗生素治疗的年轻男性，出现了脑膜综合征并伴有局灶性神经体征，随后发展为局灶性强直阵挛性惊厥，继而全身性发作。计算机断层扫描证实存在左侧矢状窦旁和右侧额叶硬脑膜下积脓。使用抗生素、地塞米松和抗惊厥药进行药物治疗后，鼻窦和脑部影像在临床和影像学上均迅速改善。本文讨论了诊断和治疗方面的问题，并推荐在不存在其他严重神经情况时，药物治疗作为硬脑膜下积脓治疗的第一步。
