1/2. Giant subdural empyema in a child: a case report.An unusual case of a giant (8 x 6 x 6 cm) frontoparietal SDE of streptococcus pneumoniae in a 17-month-old child is reported. The initial diagnosis was made with emergency CT. The purulent material was removed via a frontoparietal craniotomy. A series of postoperative MR imaging showed the gradual reduction in size of the lesion, although collapsed capsule, fibrous thickening of meningeal structures and associated displacement of the underlying brain persisted. The child was symptom-free in a follow-up period of 15 months. This case showed that SDE may reach a giant size and thus may mimic an intra-axial lesion; the coronal MR imaging is a more reliable diagnostic tool than the emergency axial CT in giant SDE of upper convexity localization, and the clinical improvement may be more impressive than the radiological changes.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/2. Giant subdural empyema in an infant. Sonographic observations.A giant subdural empyema was found to be the cause of a large head in a two month old female child referred for cranial sonography. The sonographic features of the subdural empyema as illustrated by this case are: (1) The presence of an extra-axial space occupying lesion with mass effect. (2) Its fluid nature with mobile echogenic debris within. (3) Its large extent from frontal to occipital region, and (4) Its thick medial echogenic wall. A total of 250 ml of pus was evacuated from the empyema and the child was doing well on follow up at four months of age.- - - - - - - - - - ranking = 0.33333333333333keywords = giant (Clic here for more details about this article) |