SUBDURAL EMPYEMA IN CHILDREN PRESENTING WITH HEADACHE, VOMITING, LIMB WEAKNESS: CASE REPORT AND LITERATURE REVIEW
RIZALDY PINZON *
Department of Neurology, School of Medicine Yogyakarta, Duta Wacana Christian University, Indonesia
DEVIE KRISTIANTI
Department of Pediatric, Bethesda Hospital Yogyakarta, Indonesia
HANDOYO PRAMUSINTO
Department of Neurosurgery, Dr. Sardjito Hospital Yogyakarta, Indonesia
*Author to whom correspondence should be addressed.
Abstract
Subdural empyema is an uncommon emerging case. We report case of subdural empyema in a12 years-old boy. The symptoms are right temporal headache, vomiting, and left limb weakness. Headache, vomiting and left limb weakness are acute. In CT-scan of the head, there is hypodense with HFU 30 on fronto temporo occipital dextra, edema cerebri, midline shift to the left and lateral ventricels constriction. Empyema evacuation was performed. The combination of cefotaxime and metronidazole are given. The condition is getting better. Patients discharged on day ten with a minor disability. A craniotomy is performed in this patient. Although craniotomy has been performed in patients, it does not rule out the possibility of recurrence.
Keywords: Subdural, empyema, craniotomy, limb weakness