The Experts below are selected from a list of 249 Experts worldwide ranked by ideXlab platform
Daryl R. Fourney - One of the best experts on this subject based on the ideXlab platform.
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Spinal Subdural Empyema after a dural tear. Case report.
Neurosurgical focus, 2004Co-Authors: Robert Griebel, Kotoo Meguro, Daryl R. FourneyAbstract:Spinal Subdural Empyema is an exceptionally rare and serious condition. Immediate surgery with complete exposure and drainage of the abscess is generally recommended. The authors present a patient in whom a Staphylococcus aureus septicemia related to nosocomial pneumonia developed after a thoracic laminectomy. The surgery was further complicated by an unintended durotomy (dural tear). Ten days postoperatively, the patient experienced back pain and lower-extremity symptoms caused by a Subdural Empyema. Cultures from the wound also grew S. aureus. This represents the first case of spinal Subdural Empyema in which the spread of infection into the Subdural space is believed to have been facilitated by a dural tear. The patient had a favorable outcome despite an initial delay in surgical intervention because of a pulmonary embolus.
Carlton Watson - One of the best experts on this subject based on the ideXlab platform.
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Subdural Empyema mimicking subacute Subdural hematoma on CT imaging
Elsevier, 2018Co-Authors: Carlton Watson, Nicholas Post, Md ,arturo CamachoAbstract:We report a case of a 35-year-old male who was treated with craniectomy, Subdural Empyema evacuation, and subsequent intravenous antibiotic therapy. The patient presented with what appeared to be signs of a subacute Subdural hematoma on imaging. A literature review was conducted to illustrate the similarities and differences in computed tomography (CT) findings for both Subdural Empyema, and Subdural hematoma. High clinical suspicion, with prompt and appropriate imaging, and intervention are key to decrease the likelihood of neurological sequelae in the presence of Subdural Empyema. Keywords: Subdural Empyema, Subdural hematoma, Subacute Subdural hematoma, Brain abscess, Sinusiti
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Subdural Empyema mimicking subacute Subdural hematoma on CT imaging
Interdisciplinary Neurosurgery, 2018Co-Authors: Carlton Watson, Nicholas Post, Arturo CamachoAbstract:Abstract We report a case of a 35-year-old male who was treated with craniectomy, Subdural Empyema evacuation, and subsequent intravenous antibiotic therapy. The patient presented with what appeared to be signs of a subacute Subdural hematoma on imaging. A literature review was conducted to illustrate the similarities and differences in computed tomography (CT) findings for both Subdural Empyema, and Subdural hematoma. High clinical suspicion, with prompt and appropriate imaging, and intervention are key to decrease the likelihood of neurological sequelae in the presence of Subdural Empyema.
Er Blackwood - One of the best experts on this subject based on the ideXlab platform.
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Subdural Empyema in a 5 Month Old following E. coli Meningitis
Journal of Infectious Diseases and Therapy, 2013Co-Authors: Cornicelli Matt, R. Alex, Er BlackwoodAbstract:Subdural Empyema can be a rare complication of bacterial meningitis or an infected Subdural hematoma. Reported here is a case of a 5 month old boy Ethiopian adoptee, with a suspected Subdural hematoma that was discovered to have a Subdural Empyema culture positive for a multi-drug resistant E. coli. The child was managed successfully with three washout procedures and 8 weeks of meropenem. We present this case and a review of the literature on Subdural Empyema in pediatrics.
Ha Son Nguyen - One of the best experts on this subject based on the ideXlab platform.
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Intracranial Subdural Empyema after surgery for lumbar lipomyelomeningocele: A rare complication.
Surgical neurology international, 2016Co-Authors: Ha Son Nguyen, Andrew Foy, Peter HavensAbstract:Surgery is routinely recommended for lumbar lipomyelomeningocele, especially in the setting of tethered cord syndrome. The most common complications are wound infections and cerebrospinal fluid (CSF) leak, which remain confined to the surgical site. To the best of our knowledge, there have been no prior reports relating an intracranial Subdural Empyema following detethering surgery. Prompt diagnosis is essential since Subdural Empyema is a neurosurgical emergency. The patient was an 11-month-old male who underwent detethering surgery for a lumbar lipomyelomeningocele. This was followed by wound drainage consistent with CSF leak, requiring revision. Cultures grew three aerobes (Escherichia coli, Enterococcus, and Klebsiella) and three anaerobes (Clostridium, Veillonella, and Bacteroides). He was started on cefepime, vancomycin, and flagyl. The patient required two more wound revisions and placement of an external ventricular drain (EVD) secondary to persistent wound leakage. A subsequent magnetic resonance imaging (MRI) brain was carried out due to protracted irritability, which revealed extensive left Subdural Empyema along the parietooccipital region and the inferior and anterior temporal lobe. He underwent evacuation of the Subdural Empyema where cultures exhibited no growth. Subsequently, he progressed well. His lumbar incision continued to heal. Serial MRI brains and inflammatory markers were reassuring. He weaned off his EVD and went home to complete a 6-week course of antibiotics. Upon completion of his antibiotics, he returned for a clinic visit; he exhibited no interim fevers or wound issues; cranial imaging documented no evidence of a residual or recurrent Subdural Empyema. Intracranial Subdural Empyema may occur after wound complications from detethering surgery despite early initiation of broad-spectrum antibiotics. Possible etiology may be local wound infection that seeds the Subdural space and travels to the cranium, leading to meningitis and Subdural Empyema. Such a scenario should prompt surveillance imaging of the head as undiagnosed Subdural Empyema may lead to devastating consequences.
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Intracranial Subdural Empyema after surgery for lumbar lipomyelomeningocele: A rare complication.
Surgical Neurology International, 2016Co-Authors: Ha Son Nguyen, Andrew B. Foy, Peter L. HavensAbstract:Background Surgery is routinely recommended for lumbar lipomyelomeningocele, especially in the setting of tethered cord syndrome. The most common complications are wound infections and cerebrospinal fluid (CSF) leak, which remain confined to the surgical site. To the best of our knowledge, there have been no prior reports relating an intracranial Subdural Empyema following detethering surgery. Prompt diagnosis is essential since Subdural Empyema is a neurosurgical emergency. Case description The patient was an 11-month-old male who underwent detethering surgery for a lumbar lipomyelomeningocele. This was followed by wound drainage consistent with CSF leak, requiring revision. Cultures grew three aerobes (Escherichia coli, Enterococcus, and Klebsiella) and three anaerobes (Clostridium, Veillonella, and Bacteroides). He was started on cefepime, vancomycin, and flagyl. The patient required two more wound revisions and placement of an external ventricular drain (EVD) secondary to persistent wound leakage. A subsequent magnetic resonance imaging (MRI) brain was carried out due to protracted irritability, which revealed extensive left Subdural Empyema along the parietooccipital region and the inferior and anterior temporal lobe. He underwent evacuation of the Subdural Empyema where cultures exhibited no growth. Subsequently, he progressed well. His lumbar incision continued to heal. Serial MRI brains and inflammatory markers were reassuring. He weaned off his EVD and went home to complete a 6-week course of antibiotics. Upon completion of his antibiotics, he returned for a clinic visit; he exhibited no interim fevers or wound issues; cranial imaging documented no evidence of a residual or recurrent Subdural Empyema. Conclusion Intracranial Subdural Empyema may occur after wound complications from detethering surgery despite early initiation of broad-spectrum antibiotics. Possible etiology may be local wound infection that seeds the Subdural space and travels to the cranium, leading to meningitis and Subdural Empyema. Such a scenario should prompt surveillance imaging of the head as undiagnosed Subdural Empyema may lead to devastating consequences.
D Mowle - One of the best experts on this subject based on the ideXlab platform.
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Salmonella Infantis Subdural Empyema in a Healthy Infant.
Scottish Medical Journal, 2008Co-Authors: R.s. Soliman, L. Clerihew, A. Jollands, M. Kirkpatrick, D MowleAbstract:Focal intracranial infections such as brain abscess, Subdural Empyema, or epidural abscess are unusual manifestations of salmonellosis found almost solely in immuno-compromised patients. We describe an unusual case of an 11-month old immuno-competent girl with a Salmonella Infantis Subdural Empyema. The case responded well to surgical drainage and long course of antibiotic treatment.
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Salmonella Infantis Subdural Empyema in a Healthy Infant.
Scottish Medical Journal, 2008Co-Authors: R.s. Soliman, L. Clerihew, A. Jollands, M. Kirkpatrick, D MowleAbstract:Focal intracranial infections such as brain abscess, Subdural Empyema, or epidural abscess are unusual manifestations of salmonellosis found almost solely in immuno-compromised patients. We describ...
