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Journals / Çocuk Dergisi / 2026 / Cilt: 25 Sayı: 3

A Rare Cause of Interhemispheric Subdural Empyema and Closed Head Trauma: A Case Report

Neslihan Mete Atasever(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, PEDIATRIC INFECTIOUS DISEASES)0000-0001-6274-5508
Elif Dede(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, PEDIATRIC INFECTIOUS DISEASES)0000-0002-6037-2100
Ali Genco Gençay(ISTANBUL UNIVERSITY, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, PEDIATRIC INTENSIVE CARE)0000-0001-5236-3557
Demet Demirkol(ISTANBUL UNIVERSITY, CERRAHPAŞA SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, PEDIATRIC INTENSIVE CARE)0000-0001-9578-9267
Tuğrul Cem Ünal(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF NEUROSURGERY)0000-0001-6228-1379
İlyas Dolaş(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF NEUROSURGERY)0000-0002-3425-3220
Levent Aydemir(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF OTORHİNOLARYNGOLOGY)0000-0002-5836-4304
Ayper Somer(ISTANBUL UNIVERSITY, İSTANBUL FACULTY OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, PEDIATRIC INFECTIOUS DISEASES)0000-0002-7827-1113
Pages
176–179
Publication Date
2025-10-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Symptoms disappeared with a normal neurological examination in the first week of surgical drainage and antibiotic therapy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Closed head trauma is a rare cause of subdural empyema (SDE).
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Key Findings & Data:A 15-year-old male patient presented with complaints of headache, runny nose, and forehead fullness.
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Conclusion & Impact:Symptoms disappeared with a normal neurological examination in the first week of surgical drainage and antibiotic therapy.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Trauma · abscess · empyema

Abstract

Closed head trauma is a rare cause of subdural empyema (SDE). It is often seen as a complication of paranasal sinusitis, mastoiditis, or otitis in older children. A 15-year-old male patient presented with complaints of headache, runny nose, and forehead fullness. Sinusitis was diagnosed. Treatment of sinusitis showed no benefit, but symptoms were observed to get progressively worse. MRI showed empyema in the subdural area on the left side of the interhemispheric fissure. At the beginning of his symptomatology, he had a headache that did not go away after a blow to the head almost two months ago. The first cranial images taken after the trauma were normal. The interhemispheric SDE that developed during the follow-up was drained by burrhole drainage surgery. Symptoms disappeared with a normal neurological examination in the first week of surgical drainage and antibiotic therapy.

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Cite This Article

Atasever, N. M., Dede, E., Gençay, A. G., Demirkol, D., Ünal, T. C., Dolaş, İ., Aydemir, L., Somer, A. (2025). A Rare Cause of Interhemispheric Subdural Empyema and Closed Head Trauma: A Case Report. Çocuk Dergisi, Cilt: 25 Sayı: 3, 176–179. https://doi.org/10.26650/jchild.2025.1736751

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