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Article
April 1950

ACUTE SUBDURAL EMPYEMA SECONDARY TO FRONTAL SINUSITISReport of a Case With Recovery

Author Affiliations

MILWAUKEE
From the Department of Surgery, Marquette University School of Medicine and Department of Neurosurgery, Mount Sinai Hospital.

Arch Otolaryngol. 1950;51(4):535-540. doi:10.1001/archotol.1950.00700020558006
Abstract

AMONG the intracranial complications of frontal sinusitis, subdural empyema is perhaps the least common. Although the lesion has been recognized post mortem for more than fifty years, it has been only within the past few decades that clinical reports with suggested methods of treatment have appeared in the literature. Prior to the advent of the sulfonamide drugs and penicillin, cases of subdural empyema almost uniformly ended with death. With the aid of these new antibacterial agents, neurologic surgeons are now obtaining increasingly better results with all intracranial infections, and reports of cases of subdural empyema with successful treatment are beginning to appear in the literature.

In the past, subdural empyema had been identified by a variety of names, such as cortical abscess, circumscript meningitis, internal purulent pachymeningitis and phlegmonous meningitis. Kubic and Adams,1 in their excellent review of the subject, have adopted the term "subdural empyema" as more appropriate, since

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