Cecerko J, Marzymska B, Wójcik M
Neurol Neurochir Pol. 1976 Sep-Oct;10(5):679-82.
The authors report 3 cases of subdural empyema with different course and outcome. In all of them subdural empyema developed as a complication of chronic maxillary sinusitis. In the first case a coexistent brain abscess was the cause of death. In the second case operation carried out when the patient was in extremely severe condition failed to prevent death since the diagnosis had been made too late. Complete recovery was obtained in the third case owing to early clinical diagnosis confirmed with angiography, followed by early surgical treatment of the primary focus and early craniotomy. The importance of early diagnosis is stressed and the methods of surgical treatment are discussed.
作者报告了3例硬脑膜下积脓病例，其病程和转归各异。所有病例中，硬脑膜下积脓均作为慢性上颌窦炎的并发症出现。第一例中，并存的脑脓肿是死亡原因。第二例中，患者病情极其严重时进行手术，但由于诊断过晚未能防止死亡。第三例因早期临床诊断经血管造影证实，随后对原发病灶进行早期手术治疗并早期开颅，最终完全康复。强调了早期诊断的重要性，并讨论了手术治疗方法。
