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Subdural abscess in infant and child

Abstract

Two cases of subdural abscess in infant and child treated with irrigation via burr holes were reported. The first case was a 1.4-year-old boy with right hemiparesis and mental retardation since severe head trauma at 9 months old. The patient with manifested with an acute onset of high fever followed by disturbance of consciousness and convulsive seizures 2.5 months prior to admission to our department. During admission in the other hospital, the diagnosis of septicemia caused by E. coli was made by blood cultures when CT scan demonstrated a huge lentiform low density area over the right hemisphere and contralateral crescent low density area. The low density area on the right side was well circumscribed by high density rim which was enhanced by contrast medium. Under the diagnosis of bilateral subdural abscess secondary to septicemia caused by E. coli, irrigation of the purulent cavity was carried out. The contralateral low density area was found to be chronic subdural effusion. The second case of 3-month-old infant who complained of high fever, neck stiffness, unconsciousness and right hemiconvulsions 8 days prior to admission. CT scan showed bilateral crescent low density areas indicating subdural effusion. Subdural punctures performed via the fontanelle revealed pus  More>>
Authors:
Honda, E; Shigemori, M; Hayashi, T; Kuratomi, A; Kuramoto, S [1] 
  1. Kurume Univ., Fukuoka (Japan). School of Medicine
Publication Date:
Feb 01, 1980
Product Type:
Journal Article
Reference Number:
AIX-12-575572; EDB-81-018039
Resource Relation:
Journal Name: Neurol. Surg. (Tokyo); (Japan); Journal Volume: 8:2
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABSCESSES; DIAGNOSIS; BRAIN; CAT SCANNING; INFANTS; MENINGES; PATIENTS; AGE GROUPS; ANIMALS; BODY; CENTRAL NERVOUS SYSTEM; CHILDREN; COMPUTERIZED TOMOGRAPHY; DIAGNOSTIC TECHNIQUES; IMAGE PROCESSING; MAMMALS; MAN; MEMBRANES; NEONATES; NERVOUS SYSTEM; ORGANS; PATHOLOGICAL CHANGES; PRIMATES; PROCESSING; TOMOGRAPHY; VERTEBRATES; 550602* - Medicine- External Radiation in Diagnostics- (1980-)
OSTI ID:
6760910
Country of Origin:
Japan
Language:
Japanese
Other Identifying Numbers:
Journal ID: CODEN: NOKGB
Submitting Site:
INIS
Size:
Pages: 167-172
Announcement Date:
Jan 01, 1981

Citation Formats

Honda, E, Shigemori, M, Hayashi, T, Kuratomi, A, and Kuramoto, S. Subdural abscess in infant and child. Japan: N. p., 1980. Web.
Honda, E, Shigemori, M, Hayashi, T, Kuratomi, A, & Kuramoto, S. Subdural abscess in infant and child. Japan.
Honda, E, Shigemori, M, Hayashi, T, Kuratomi, A, and Kuramoto, S. 1980. "Subdural abscess in infant and child." Japan.
@misc{etde_6760910,
title = {Subdural abscess in infant and child}
author = {Honda, E, Shigemori, M, Hayashi, T, Kuratomi, A, and Kuramoto, S}
abstractNote = {Two cases of subdural abscess in infant and child treated with irrigation via burr holes were reported. The first case was a 1.4-year-old boy with right hemiparesis and mental retardation since severe head trauma at 9 months old. The patient with manifested with an acute onset of high fever followed by disturbance of consciousness and convulsive seizures 2.5 months prior to admission to our department. During admission in the other hospital, the diagnosis of septicemia caused by E. coli was made by blood cultures when CT scan demonstrated a huge lentiform low density area over the right hemisphere and contralateral crescent low density area. The low density area on the right side was well circumscribed by high density rim which was enhanced by contrast medium. Under the diagnosis of bilateral subdural abscess secondary to septicemia caused by E. coli, irrigation of the purulent cavity was carried out. The contralateral low density area was found to be chronic subdural effusion. The second case of 3-month-old infant who complained of high fever, neck stiffness, unconsciousness and right hemiconvulsions 8 days prior to admission. CT scan showed bilateral crescent low density areas indicating subdural effusion. Subdural punctures performed via the fontanelle revealed pus in the left subdural space and xanthocromic fluid in the right side. The low density area on CT scan was changed to the lentiform high density area circumscribed smooth high density rim during the course of the patient. The subdural abscess was treated with irrigation via burr holes. In this report, the etiology of the subdural abscess and route of infection in addition to follow up study of CT findings were presented with the literature.}
journal = []
volume = {8:2}
journal type = {AC}
place = {Japan}
year = {1980}
month = {Feb}
}