Medica Jadertina, Vol. 53 No. 1, 2023.
Professional paper
https://doi.org/10.57140/mj.53.1.7
Infrequent case of cavum septi pellucidi empyema and principles of neurosurgical management: case report and literature review
Alma Efendić
; Canton hospital Zenica, Department of radiology, Zenica, Bosnia and Herzegovina
Hakija Bečulić
; Canton hospital Zenica, Department of neurosurgery, Zenica, Bosnia and Herzegovina
Rasim Skomorac
; Canton hospital Zenica, Department of neurosurgery, Zenica, Bosnia and Herzegovina
Aldin Jusić
; Canton hospital Zenica, Department of neurosurgery, Zenica, Bosnia and Herzegovina
Edin Selimović
; University of Zenica, Faculty of medicine, Zenica, Bosnia and Herzegovina
Emir Begagić
; University of Zenica, Faculty of medicine, Zenica, Bosnia and Herzegovina
Fatima Juković-Bihorac
; Canton hospital Zenica, department of pathology, Zenica, Bosnia and Herzegovina
Abstract
Aim: To present a very rare case of empyema cavuma septi pellucidi.
Case report: A 5-year-old male child was admitted to the Department of Infectious Diseases Cantonal
Hospital Zenica because of fever (38.30C), headache and vomiting. The patient developed intracranial
hypertension as a result of a compressive purulent collection formed due to meningitis between the lamine
of the septum pelucidum with consequent intracranial hypertension.
Conclusion: The decision regarding the modality of treatment was not easy. We considered that
empyema evacuation using the transcallosalinterhemispheric approach allows the complete removal of
purulent collection and the placement of drainage, which allows additional emptying of the empyema cavity
and prevents empyema recurrence. Empyema evacuation with drainage and antibiotic therapy have shown
beneficial results.
Keywords
purulent content; septum pellucidum; neurosurgery
Hrčak ID:
303194
URI
Publication date:
1.6.2023.
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