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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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| Titolo: | Cranio-spinal subdural empyema due to S. Intermedius: A case report | |
| Autori: | ||
| Data di pubblicazione: | 2007 | |
| Rivista: | ||
| Handle: | http://hdl.handle.net/11392/2368688 | |
| Appare nelle tipologie: | 03.1 Articolo su rivista |
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