Complications of the group of patients included seizures (three cases), subcutaneous effusion (three cases), subdural effusion
(four cases), intracranial pneumatosis (seven cases), and pneumonia (three cases).
The patient had a protracted clinical course, characterized by continued photophobia, intermittent fever (38-39[degrees]C), and subdural effusion
. After 10 days of ceftriaxone treatment, her drug therapy was changed to intravenous ampicillin, administered for 2 weeks.
A CT scan of the brain showed a small subdural effusion
in the frontal and left parietal lobes and a small subarachnoid haemorrhage in the left ambient cistern.
Brain CT with contrast [Figure 1] showed symmetrical layers of subdural effusion
in bilateral frontotemporal areas.
Neurological complications of bacterial meningitis in children include subdural effusion
or empyema, cerebral abscess, hydrocephalus, focal deficits and seizures, which are often seen during the acute stage of the disease.
Gadolinium-enhanced cranial magnetic resonance imaging (MRI) revealed thin subdural effusion
, bilateral dural thickening and slight brain sagging (Figure 1).
A case of Subdural effusion
secondary to dural Metastasis of prostatic cancer: case report.
Bilateral subdural effusion
, cerebral atrophy and cystic encephalomalacia are most likely attributed to either hypoxic ischaemic incident at birth, vascular steal or chronic venous hypertension.
Postoperative CT scans of one patient showed subdural effusion
and ventricular dilatation.
Complications of severe meningitis can include ventriculitis, extra-axial fluid collections (empyemas and subdural effusions
), parenchymal infection (cerebritis or abscess), and secondary infectious vasculitis.
Thus, venous sinus engorgement, abnormal pachymeningeal enhancement (with gadolinium), subdural effusions
and enlargement of the pituitary gland occurring in ICH may represent a tetrad of compensations occurring in the face of reduced intracranial pressure.25