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Subdural Ampiyemlerin 20 Yıllık Retrospektif Analizi

20-Years Retrospective Analysis of Subdural Empyemas

Journal Name:

  • Uludağ Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Intracranial subdural empyema is a neurosurgical emergency with potentially devastating complications. Early diagnosis, early surgery and appropriate antibiotic treatment decreases the mortality. In this article, 31 patients have been examined retrospectively and compared by clinical presentation, ethiologic factors and treatment strategies. The most frequent ethiological agent was Staphilococcus aureus. Fever was the most common clinical presentation and cranial CT with contrast enhancement was used for diagnosis in all patients. In 24 cases craniotomy was performed while burr hole evacuation was performed in 4 cases. Both burr hole and craniotomy were performed at 3 cases. The mean follow up time was 20 (±23.25) months and recurrens was detected in 4 cases. Early diagnosis and quick surgery affects the prognosis significantly. Despite the aggressive treatment it has to be kept in mind that mortality and morbidity is still too high. Excretion of the empyema by craniotomy is the procedure that we suggest.
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Abstract (Original Language): 
İntrakranial subdural ampiyem potansiyel yıkıcı komplikasyonlarla giden bir nöroşirürji acilidir. Erken tanı, erken cerrahi ve uygun antibiyotik tedavisi mortaliteyi azaltır. Bu makalede 1990-2009 yılları arasında opere edilen 31 hasta retrospektif olarak incelenmiş ve klinik prezentasyon, etyolojik faktörler ve tedavi stratejileri açısından karşılaştırılmıştır. En sık etken Stafilococcus aureus idi. En sık başvuru şikayeti ateşti ve tanı tüm olgularda konrastlı kranial BT ile konuldu. En sık yerleşim yeri frontal konveksite idi. Kraniotomi 24 olguya, sadece burr-hole 4 olguya, hem burr-hole hem kraniotomi 3 olguya uygulandı. Ortalama takip süresi 20 (±23.25) ay idi. 4 hastada rekürrens izlendi. Agresif tedaviye rağmen mortalite ve morbiditenin hala yüksek olduğu akıldan çıkarılmamalıdır. Kraniotomi ile ampiyem boşaltılması önerdiğimiz tedavi şeklidir.
FULL TEXT (PDF): 
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  • 2
61-63
  • Turkish

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