Burr hole evacuation for infratentorial subdural empyema  

作　　者：Ridvan Alimehmeti Arsen Seferi Gentian Stroni Suela Sallavaci Arben Rroji Kliti Pilika Mentor Petrela 

机构地区：[1]Service of Neurosurgery, University Hospital Centre "Mother Theresa",270 Tirana, Albania [2]Service of Neurosurgery, University Hospital Centre "Mother Theresa", 270 Tirana, Albania [3]Service of Infectious Diseases, University Hospital Centre "Mother Theresa", 372 Tirana, Albania [4]Service of Otorhinolaryngology, University Hospital Centre "Mother Theresa", 372 Tirana, Albania [5]Service of Neuroradiology, University Hospital Centre "Mother Theresa", 270 Tirana, Albania

出　　处：《World Journal of Clinical Cases》2013年第5期172-175,共4页世界临床病例杂志

摘　　要：Infratentorial empyema is a life threatening condition and constitutes a neurosurgical emergency. Purulent mastoiditis and medial otitis is the most common origin and a thorough eradication of the purulent foci is mandatory. Decompression craniectomy has been primarily advised in the literature as the gold standard of the surgical treatment but burr hole evacuation when there the lack of cerebellar edema is less invasive and deemed equally efficient in the few reported cases. This is the report of a seventeen year old female who presented in a comatose state due to infratentorial empyema with acute hydrocephalus and who improved immediately after burr hole evacuation. Details of the surgical procedures are given. Mastoidectomy was completed, with the patient under combined antibiotherapy. She leads a normal life now, more than six years after surgery.Infratentorial empyema is a life threatening condition and constitutes a neurosurgical emergency. Purulent mastoiditis and medial otitis is the most common origin and a thorough eradication of the purulent foci is mandatory. Decompression craniectomy has been primarily advised in the literature as the gold standard of the surgical treatment but burr hole evacuation when there the lack of cerebellar edema is less invasive and deemed equally efficient in the few reported cases. This is the report of a seventeen year old female who presented in a comatose state due to infratentorial empyema with acute hydrocephalus and who improved immediately after burr hole evacuation. Details of the surgical procedures are given. Mastoidectomy was completed, with the patient under combined antibiotherapy. She leads a normal life now, more than six years after surgery.

关 键 词：INFRATENTORIAL SUBDURAL EMPYEMA BURR HOLE EVACUATION 

分 类 号：R651[医药卫生—外科学]