Infantile Supratentorial Subdural Empyema Managed By Percutaneous Aspiration: An Outcome Study In A Nigerian City

• DOI: 10.24911/sjp.106-1520470056
• Publication Date: 2019-06-07T15:55:34Z
• Authors: Okezie Kanu; Christopher Esezobor; Omotayo Ojo; Chinyere Asoegwu; Chinenye Nnoli; Yusuf Dawang; Edamisan Temiye
• Keywords: Subdural empyema

Subdural empyema (SDE), a common neurosurgical emergency in the developing countries, accounts for 15%-20% of localised paediatric intracranial infections. In regions where modern diagnostic tools are scarce and inaccessible, detection SDE may be delayed with subsequent poor outcome. Percutaneous subdural aspiration patients open anterior fontanel only surgical option resource-poor world. This review focuses on management outcome, including neurological outcome these children. Clinical charts children treated by percutaneous tap between February 2006 August 2014 were reviewed. Demographic, clinical, radiological, bacteriological parameters data analysed. Forty-five mean age 10.6 ± 6.2 months (range: 2-17 months) followed up median duration 16.4 included. The most frequent clinical features enlarged head circumference, fever, focal neurologic deficits altered level consciousness. Diagnosis was confirmed using trans-fontanel ultrasound scan 32 (71.1%) children, computerised tomography 12 (26.7%) magnetic resonance imaging one (2.2%) child. unilateral 73.3% bilateral 26.7%. 23 (51.1%) positive culture, Staphylococcus aureus (n = 10), anaerobes 7), Escherishia coli Haemophilus influenza 6 each) organisms. Forty-three (95.6%) survived, 36 which had good Glasgow score. Seven still moderate at 3 months. Treatment young patent has therapeutic