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Papers of the Week

2022 Jul-Sep

J West Afr Coll Surg



Contemporary Management of Intracranial Subdural Empyema: An Institutional Experience.


Jolayemi E O, Bankole O B, Ojo O A, Bamigboye B, Adebayo B O, Arekhandia B J, Asoegwu C N, Alabi O I, Ifezue U C, Nwawolo C C, Kanu O O
J West Afr Coll Surg. 2022 Jul-Sep; 12(3):56-63.
PMID: 36388740.


Intracranial subdural empyema (SDE) is a seemingly uncommon life-threatening ailment with varying presentations and outcomes. A variety of risk factors have been associated with predisposition to intracranial SDEs; however, they may be cryptogenic. There is an increased predilection for intracranial SDE in children and teenagers with paranasal sinusitis or middle ear infections. The clinical presentation is non-specific and thus a high index of suspicion is required. Neuroimaging is an invaluable diagnostic tool for early diagnosis and surgical intervention. There have been multiple proponents for either burr hole or craniotomy to treat intracranial SDEs; however, despite surgical intervention, adverse neurologic sequelae and even mortality still occur. Extended antibiotic therapy is mandatory and impacts significantly on patients' outcomes.