title: Subdural empyema: a rational management plan. The case against craniotomy.
abstract: A review of the management of 34 patients with subdural empyema treated at the Derbyshire Royal Infirmary has been undertaken. It is concluded that craniotomy has little part to play in the management of patients with this condition. With modern, improved antimicrobials and prompt burr hole lavage complete recovery should be obtained in the majority of cases. The treatment of the severely ill patient is discussed.
authors.affiliation: Regional Department of Neurosurgery and Neurology, University Hospital, Nottingham, England.
authors.forename: C P
authors.initials: CP
authors.lastname: Shearman
authors.forename: P D
authors.initials: PD
authors.lastname: Lees
authors.forename: J C
authors.initials: JC
authors.lastname: Taylor
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D013354:Empyema, Subdural / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents