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Year : 2022  |  Volume : 49  |  Issue : 3  |  Page : 356-357

Maximal medical therapy in extensive subdural empyema of the brain and spinal cord

1 Department of Neurosurgery, Banner Health Clinic, Greeley, CO, USA
2 Department of Research, Aneuclose LLC, Minneapolis, MN, USA
3 Department of Research, Colombian Clinical Research Group in Neurocritical Care, Bogota, Colombia

Correspondence Address:
Dr. Luis Rafael Moscote-Salazar
Colombian Clinical Research Group in Neurocritical Care, Bogota
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jss.jss_116_22

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Severe subdural empyema (SDE) involving both the brain and spinal cord can be a life-threatening condition if not treated properly. We describe a malnourished patient with extensive spinal and intracranial SDE, whose poor prognosis prompted palliative care consultation. Surgical options were not possible. However, following maximal medical therapy, the patient's condition resolved completely in 1 year. This case highlights the important relationship between neurocritical care medical management and infection when surgical options are not possible.

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