Subdural empyema historical perspective
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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]
Historical Perspective
While attempts at description of subdural empyema have existed since the 1700s, subdural empyema was first described by Cyril Brian Courville in 1939. Subdural empyema has historically also been referred to as subdural abscess, pachymeningitis interna, purulent pachymeningitis, and circumscript meningitis.[1] Subdural empyema consists of a localized collection of purulent material, usually unilateral, between the dura mater and the arachnoid mater; it accounts for about 15-22% of reported focal intracranial infections.[1] The empyema may develop intracranially (approximately 95%) or in the spinal canal (approximately 5%), and in both cases, constitutes a medical and neurosurgical emergency.[2]
Before the discovery of antibiotics, the mortality rate of patients with subdural empyema was near 100%, however the development of antibiotics and CT scans have dramatically decreased these estimates to between 6-35%.[1]
References
- ↑ 1.0 1.1 1.2 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.
- ↑ Greenlee JE (2003). "Subdural Empyema". Curr Treat Options Neurol. 5 (1): 13–22. PMID 12521560.