Abstract:
Objective To explore the treatment and prognosis of subdural abscess.
Methods A retrospective analysis was made to clinical informations, surgical procedure selections and prognosis of 4 subdural abscess patients, admitted to the Anqing First People's Hospital from January 2008 to May 2015. 3 cases of them had cerebral hernia when they were admitted to the department, underwent emergency decompressive craniectomy and Removal of subdural abscess; 1 case underwent drainage of subdural abscess.
Results 4 patients all recovered well after active treatment. According to common daily life ability classification(GOS): grade I 3 cases (Independent activities, without help or guidance); grade Ⅱ 1 cases (activity, must guide).
Conclusion Subdural abscess is a rare disease in the department of neurosurgery. Due to the lack of any interval between the subdural space, once the subdural abscess occurs and the range of abscess got bigger, the consequences will be very serious. In addition to systemic use of antibiotics, the effect of trepanation and drainage is the best. So keeping the drainage tube unobstructed is the key to improve the cure rate.
Key words:
Subdural abscess,
Trepanation and drainage,
Brain hernia
Mian Wang, Jinhua Gao, Gaoyuan Wu, Wenyue Huang, Hongbo Qian, Wenliang Wu, Chunlei Cheng. Diagnosis and treatment of subdural abscess[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2016, 02(02): 97-99.