Verma Pawan Kumar, Gandhi Ashok, Kumar Pradeep, Jain S K
Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
Asian J Neurosurg. 2018 Jul-Sep;13(3):797-799. doi: 10.4103/ajns.AJNS_237_16.
An extremely rare case of chronic epidural empyema after cranioplasty is presented. It derives its extreme rareness from its association with calcification. This patient when presented to our department had a complaint of swelling with on and off discharging sinus for 2 months adjacent to old incision scar mark. The patient had a history of decompressive craniectomy and evacuation of acute subdural hematoma, in some other institution, 8 years back. Following that, the patient underwent cranioplasty with the exteriorized and preserved bone flap. In the meantime, he was asymptomatic. It is a unique interesting case of chronic epidural empyema with calcified walls after 8 years of long duration following cranioplasty.
本文报告了1例颅骨成形术后极为罕见的慢性硬膜外积脓病例。其极端罕见性源于其与钙化的关联。该患者来我院就诊时，主诉在旧切口瘢痕附近出现肿胀，并伴有断断续续的窦道排脓2个月。患者8年前在其他机构有减压性颅骨切除术及急性硬膜下血肿清除术史。此后，患者接受了带外置保留骨瓣的颅骨成形术。在此期间，他没有症状。这是1例颅骨成形术后8年出现的具有钙化壁的慢性硬膜外积脓的独特有趣病例。
