TY  - JOUR
TI  - Surgical management of interhemispheric subdural empyemas: Review of the literature and report of 12 cases
AB  - BACKGROUND: Subdural empyemas (SDEs) are rare intracranial infections mostly secondary to sinusitis. Incidence of SDEs is 5–25%. Interhemispheric SDEs are even rarer, which makes their diagnosis and treatment difficult. Aggressive surgical interventions and wide-spectrum antibiotics are needed for treatment. In this retrospective clinical study, we intended to evaluate the results of surgical management supported by antibiotics in patients with interhemispheric SDE. METHODS: Clinical and radiological features, medical and surgical management and outcomes of 12 patients treated for interhemispheric SDE have been evaluated. RESULTS: 12 patients were treated for interhemispheric SDE between 2005 and 2019. Ten (84%) were male, two (16%) were female. Mean age was 19 (7–38). Most common complaint was headache (100%). Five patients were diagnosed with frontal sinusitis prior SDE. Initially, three patients (27%) underwent burr hole aspiration and ten patients (83%) underwent craniotomy. In one patient both were done in the same session. Six patients were reoperated (50%). Weekly magnetic resonance imaging and blood tests were used for follow-up. All patients received antibiotics for at least 6 weeks. There was no mortality. Mean follow-up period was 10 months. CONCLUSION: Interhemispheric SDEs are rare, challenging intracranial infections that have been related to high morbidity and mortality rates in the past. Both antibiotics and surgical interventions play role in treatment. Careful choice of surgical approach and repeated surgeries if necessary, accompanied by appropriate antibiotic regimen, leads to good prognosis reducing morbidity and mortality.
AU  - güçlü, doğan güçlühan
AU  - DÖLEN, Duygu
AU  - DOLAŞ, İlyas
AU  - BAŞARAN, Seniha
AU  - ÜNAL, Tugrul Cem
AU  - Yılmaz, Ezgi
AU  - Alkır, Görkem
AU  - ÖZLÜ, HARUN MEHMET
AU  - aydoseli, aydin
AU  - Kubilay, Mitra
AU  - Sencer, Altay
DO  - 10.14744/tjtes.2022.56706
PY  - 2023
JO  - Ulusal Travma ve Acil Cerrahi Dergisi
VL  - 29
IS  - 4
SN  - 1306-696X
SP  - 514
EP  - 522
DB  - TRDizin
UR  - http://search/yayin/detay/1188784
ER  -