Journals / Okmeydanı Tıp Dergisi / 2015 / Cilt: 31 - Sayı: 4

The Importance of Contrast Enhanced and DiffusionWeighted Magnetic Resonance Imaging at Subdural Empyema: Case Report

Kontrastlı ve Difüzyon Ağırlıklı Manyetik Rezonans Görüntülemenin Subdural Ampiyemde Önemi

Pages
211–213
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

In this article, we report a thirteen-year-old girl who had subdural empyema secondary to meningitis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Subdural empyema is accumulation of pus between the arachnoid and dura matter.
📊
Key Findings & Data:In case of delay in diagnosis and treatment subdural empyema can lead to increased morbidity or mortality.
💡
Conclusion & Impact:In this article, we report a thirteen-year-old girl who had subdural empyema secondary to meningitis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Subdural empyema is accumulation of pus between the arachnoid and dura matter. It is usually seen secondary to meningitis in childhood. Fever, headache, seizures, altered consciousness, focal neurological signs such as hemiparesis can be seen. Computed tomography and magnetic resonance imaging (MRI) are used in the diagnosis of subdural empyema. Contrast cranial and diffusion-weighted MRI seems to be much more effective in dsitinguishing subdural empyema from subdural effusion. In case of delay in diagnosis and treatment subdural empyema can lead to increased morbidity or mortality. In this article, we report a thirteen-year-old girl who had subdural empyema secondary to meningitis.

Özet

Subdural ampiyem dura ve araknoid mesafede pürülan materyalin birikmesidir. Çocukluk çağında daha çok menenjite ikincil görülmektedir. Ateş, baş ağrısı, nöbet, bilinç değişikliği, hemiparezi gibi fokal nörolojik bulgular görülebilmektedir. Bilgisayarlı tomografi ve magnetik rezonans görüntüleme (MRG) subdural ampiyem tanısında kullanılmaktadır. Kontrastlı kranial ve difüzyon MRG subdural ampiyemi subdural effüzyondan ayırmada çok daha etkin gözükmektedir. Subdural ampiyem tanı ve tedavinin gecikmesi durumunda yüksek morbidite veya mortaliteye neden olabilmektedir. Bu makalede, menenjite sekonder subdural ampiyem gelişen, 13 yaşında kız hasta sunuldu

🔖

Cite This Article

EKİCİ, A., GÜÇLÜ, B., BAŞIBÜYÜK, G., ÖZDEMİR, Ö., GENÇ, P., EKİCİ, M. A. (2015). The Importance of Contrast Enhanced and DiffusionWeighted Magnetic Resonance Imaging at Subdural Empyema: Case Report. Okmeydanı Tıp Dergisi, Cilt: 31 - Sayı: 4, 211–213. https://ajindex.com/articles/340736

References (13)

  1. Syrogiannopoulos GA, Nelson JD, McCracken GH Jr. Subdural collections of fluid in acute bacterial menin- gitis: a review of 136 cases. Pediatr Infect Dis 1986;5: 343-352. http://dx.doi.org/10.1097/00006454-198605000-00014
  2. Nathoo N, Nadvi SS, van Dellen JR, Gouws E. Int- racranial subdural empyemas in the era of computed tomography: a review of 699 cases. Neurosurgery 1999;44:529-535. http://dx.doi.org/10.1097/00006123-199903000-00055
  3. Ramsay DW, Aslam M, Cherryman GR. Diffusion- weighted imaging of cerebral abscess and subdural empyema. AJNR Am J Neuroradiol 2000;21:1172. Wong AM, Zimmerman RA, Simon EM, Pollock AN, Bilaniuk LT. Diffusion-weighted MR imaging of sub- dural empyemas in children. AJNR Am J Neuroradiol 2004;25:1016-1021.
  4. Hughes DC, Raghavan A, Mordekar SR, Griffiths PD, Connolly DJ. Role of imaging in the diagnosis of acu- te bacterial meningitis and its complications. Postgrad Med J 2010;86:478-485. http://dx.doi.org/10.1136/pgmj.2010.097022
  5. Wackym PA, Canalis RF, Feuerman T. Subdural emp- yema of otorhinological origin. J Laryngol Otol 1990; 104:118-122. http://dx.doi.org/10.1017/S0022215100112010
  6. Tewari MK, Sharma RR, Shiv VK, Lad SD. Spectrum of intracranial subdural empyemas in a series of 45 patients: current surgical options and outcome. Neurol India 2004;52:346-349.
  7. Tsai YD, Chang WN, Shen CC, Lin YC, Lu CH, Liliang PC, Su TM, Rau CS, Lu K, Liang CL. Intracranial sup- puration: a clinical comparison of subdural empyemas and epidural abscesses. Surg Neurol 2003;59:191-196. http://dx.doi.org/10.1016/S0090-3019(02)01054-6
  8. Pathak A, Sharma BS, Mathuriya SN, Khosla VK, Khan- delwal N, Kak VK. Controversies in the management of subdural empyema. A study of 41 cases with review of literature. Acta Neurochir (Wien) 1990;102:25-32. http://dx.doi.org/10.1007/BF01402182
  9. Halvin ML, Ratchenson RA. Subdural empyema: In: Kaye AH, Black PM (eds). Operative Neurosurgery. Harcourt, London 2000:1667-1678.
  10. Maytal J, Patel M, Apeatu S, Schneider S, Eviatar L. Subdural empyema in 12-year-old girl: the va- lue of magnetic resonance imaging. J Neuroimaging 1996;6:258-260.
  11. Şengül, G, Takçı E, Uslu H, Sili M, Kayaoğlu ÇR, Tü- zün Y, Kadıoğlu HH, Aydın İH. İntrakraniyal subdural ampiyem: 12 olgunun klinik analizi. Sinir Sistemi Cer- rahisi Dergisi 2009;2:7-11.
  12. Feuerman T, Wackym PA, Gade GF, Dubrow T. Crani- otomy improves outcome in subdural empyema. Surg Neurol 1989;32:105-110. http://dx.doi.org/10.1016/0090-3019(89)90196-1
  13. Venkatesh MS, Pandey P, Devi BI, Khan