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]
Overview
While attempts at description of subdural empyema have existed since the 1700s, subdural empyema was first described by Cyril Brian Courville in 1939.
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] rnal| author=Greenlee JE| title=Subdural Empyema. | journal=Curr Treat Options Neurol | year= 2003 | volume= 5 | issue= 1 | pages= 13-22 | pmid=12521560 | doi= | pmc=|url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12521560 }} </ref> Subdural empyema was initially purely a clinical diagnosis, however the development of CT scan and MRI have allowed for more accurate diagnosis using a variety of studies. Historically, treatment was surgical. Before the discovery of antibiotics, the mortality rate of patients with subdural empyema was near 100%, however the development of antimicrobial therapies have dramatically decreased the estimate to between 6-35%.[1]