Subdural empyema history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]; Anthony Gallo, B.S. [3]
Overview
If possible, a detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include prior central nervous system procedures, sinusitis, or mastoiditis. Common symptoms of sudbural empyema include headache, neck stiffness, vomiting, and seizures.
The diagnosis of subdural empyema should be suspected, when a patient presents with a history of sinusitis and recent CNS signs and/or symptoms.[1][2] Symptoms include those referable to the source of the infection. In addition, most patients are febrile, with headache and neck stiffness, and, if untreated, may develop focal neurologic signs, lethargy, and coma.
History
If possible, a detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include prior central nervous system procedures, sinusitis, or mastoiditis.
Symptoms
Common symptoms of subdural empyema in children include:[3]
Common symptoms of subdural empyema in adults include:
- Fever (generally >38 ºC (100.5 ºF))
- Sinusitis
- Nausea
- Vomiting
- Headache
- Seizures
- Drowsiness
- Unresponsiveness with others
- Speech difficult
- Facial pain
- Coma
References
- ↑ Agrawal, Amit; Timothy, Jake; Pandit, Lekha; Shetty, Lathika; Shetty, J.P. (2007). "A Review of Subdural Empyema and Its Management". Infectious Diseases in Clinical Practice. 15 (3): 149–153. doi:10.1097/01.idc.0000269905.67284.c7. ISSN 1056-9103.
- ↑ Longo, Dan L. (Dan Louis) (2012). Harrison's principles of internal medici. New York: McGraw-Hill. ISBN 978-0-07-174889-6.
- ↑ Hendaus, Mohammed A. (2013). "Subdural Empyema in Children". Global Journal of Health Science. 5 (6). doi:10.5539/gjhs.v5n6p54. ISSN 1916-9744.