Conservative treatment for multilocular empyema. Case report.

Abstract

The case of a 35-year-old patient is reported. After a two-week interval following an ORL puncture in the frontal sinuses, the patient showed a suppuration on the right hemisphere and was admitted in the territorial neurosurgical clinic. Due to a progressive neurological impairment (loss of consciousness and left hemiplegia) the patient was transferred to the Neurological Clinic of "G. Marinescu" Hospital, in Bucharest. CT-scanning carried out in 1989, showed multiple empyemas (intrahemispheric, basal, etc.) excluding any surgical treatment. A conservative treatment was administered during a long period including antibiotics, notably cephalosporines (the third generation). Repetition of CT-scanning evidenced a progressive diminution of a total disappearance of septic intracranial collection, hence, an obvious improvement of the patient. After a year of treatment, the patient was considered to be recovered even if he still accused rare epileptic seizures, partially controlled by drug therapy.