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EnglishBACKGROUND AND PURPOSE: Subdural empyema represents a loculated infection between the dura and the arachnoid. It has been described either intracranially or in the spinal canal, the latter localization being quite rare. While treatment guidelines for a single (either brain or spinal) localization of a subdural empyema are more or less established, its management when a massive involvement of CNS is evident represents a challenge. METHODS: The authors describe a unique case of a 65-year-old woman having a massive involvement of the entire CNS with multiple localizations, both intracranial and spinal. Early diagnosis was obtained through brain CT scans followed by cranio-spinal contrast enhanced MRI scans. Patient was treated with external ventricular drainage and suboccipital craniectomy, while on antibiotic therapy. RESULTS: Patient's neurological condition gradually improved. By the end of the eighth hospital week, she was discharged without any neurological deficit. CONCLUSIONS: Spinal subdural empyema and brain subdural empyema are not always, as in our case, two different entities. Prompt diagnosis and treatment constitute the major variables affecting outcome. © 2007 by the American Society of Neuroimaging.
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| Data di pubblicazione: | 2007 | |
| Titolo: | Cranio-spinal subdural empyema due to S. Intermedius: A case report | |
| Autori: | Pompucci, Angelo; De Bonis, Pasquale; Sabatino, Giovanni; Federico, Giovanni; Moschini, Massimo; Anile, Carmelo; Mangiola, Annunziato | |
| Rivista: | JOURNAL OF NEUROIMAGING | |
| Parole Chiave: | Abscess; Brain subdural empyema; Cranial subdural empyema; Spinal subdural empyema; Streptococcus intermedius; Subdural collection; Aged; Anti-Infective Agents; Combined Modality Therapy; Diagnosis, Differential; Empyema, Subdural; Female; Humans; Magnetic Resonance Imaging; Streptococcal Infections; Streptococcus intermedius; Tomography, X-Ray Computed; Radiology, Nuclear Medicine and Imaging; Neurology (clinical) | |
| Abstract in inglese: | BACKGROUND AND PURPOSE: Subdural empyema represents a loculated infection between the dura and the arachnoid. It has been described either intracranially or in the spinal canal, the latter localization being quite rare. While treatment guidelines for a single (either brain or spinal) localization of a subdural empyema are more or less established, its management when a massive involvement of CNS is evident represents a challenge. METHODS: The authors describe a unique case of a 65-year-old woman having a massive involvement of the entire CNS with multiple localizations, both intracranial and spinal. Early diagnosis was obtained through brain CT scans followed by cranio-spinal contrast enhanced MRI scans. Patient was treated with external ventricular drainage and suboccipital craniectomy, while on antibiotic therapy. RESULTS: Patient's neurological condition gradually improved. By the end of the eighth hospital week, she was discharged without any neurological deficit. CONCLUSIONS: Spinal subdural empyema and brain subdural empyema are not always, as in our case, two different entities. Prompt diagnosis and treatment constitute the major variables affecting outcome. © 2007 by the American Society of Neuroimaging. | |
| Digital Object Identifier (DOI): | 10.1111/j.1552-6569.2007.00084.x | |
| Handle: | http://hdl.handle.net/11392/2368688 | |
| Appare nelle tipologie: | 03.1 Articolo su rivista |
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