Rosazza A, de Tribolet N, Deonna T
Helv Paediatr Acta. 1979;34(6):577-81.
Interhemispheric subdural empyema complicating sinusitis was diagnosed in two children by CAT scan. One of them presented with intracranial hypertension and paresis of one foot (syndrome of the falx cerebri). Antibiotic treatment alone without surgery (in one case with brief initial steroid therapy) brought rapid and complete clinical and radiological cure. A nonsurgical approach can now be considered in certain cases of intracranial local suppurations, given the possibility of earlier and more precise initial diagnosis and follow-up with CAT scan.
通过计算机断层扫描（CAT扫描）诊断出两例患有鼻窦炎并发大脑半球间硬膜下积脓的儿童。其中一名儿童出现颅内高压和单足麻痹（大脑镰综合征）。仅采用抗生素治疗而未进行手术（其中1例最初短期使用了类固醇疗法）使临床和影像学表现迅速且完全治愈。鉴于CAT扫描能够实现更早期、更精确的初步诊断及随访，对于某些颅内局部化脓病例，现在可以考虑采用非手术治疗方法。
