Traumatic Subdural Empyema – A Rare Neurosurgical Emergency: Case Report and Review of Literature
Keywords:
Subdural empyema,, mortality rate,, radiological sign,, non-contrast CT scan.Abstract
Subdural empyema is a neurosurgical emergency with potentially overwhelming complications. The prognosis is harmfully affected when early diagnosis is not made. Recent advancement in the imaging techniques, especially contrast enhanced CT Scans and MRI Scans, have improved the precision of radiological diagnosis of this condition, along with reduction in the mortality rate. Regardless of this, there may still be an impediment in diag-nosis, partly due to the subtleness of early radiological signs, especially on non-contrast CT Scan. We present a case report which illustrates some of the radiological manifestations, complications, potential pitfalls in diagnosis and treatment of traumatic subdural empyema.
Conclusion: Patient of severe head injury not improving with pharmacotherapy should get a repeat C.T Scan vault to look for delayed hematomas or empyema. Urgent diagnosis and prompt evacuation along with proper anti-biotic therapy can improve the survival of patient having traumatic subdural empyema.
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