Mini-Invasive Neurosurgical Treatment of Subdural Empyema: A Two-Patient Case Series.
Ejona Rifat Isakaj Lilamani, Aurora Arben Muça, Arben Jonuz Rroji et al.
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Case in brief
Two patients with subdural empyema underwent minimally invasive burr-hole evacuation. The first patient, a 22-year-old man, presented with high fever and rapid neurological decline, leading to coma. He required intensive care but showed gradual improvement. The second patient, a 40-year-old man, had hypertensive intracranial syndrome and recovered immediately postoperatively. Both patients had complete evacuation confirmed by imaging and no recurrence at 2-year follow-up.
Diagnostic / clinical pearl
Minimally invasive burr-hole evacuation can be a viable alternative to traditional craniotomy in selected cases of subdural empyema, especially when combined with targeted antibiotic therapy.