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Case Report

Omentum graft for intractable subdural empyema

Gene H. Barnett, MD and Harry K. Moon, MD
Cleveland Clinic Journal of Medicine May 1989, 56 (3) 311-315;
Gene H. Barnett
Department of Neurological Surgery, The Cleveland Clinic Foundation
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Harry K. Moon
Department of Plastic and Reconstructive Surgery, The Cleveland Clinic Foundation
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ABSTRACT

A subdural empyema developed in a young man after craniotomy for evacuation of a hematoma in a sylvian fissure arachnoid cyst and the subdural space. Despite prolonged systemic and subdural antibiotic administration and a debridement of the subdural space, infection persisted, as evidenced by persistent fever, an elevated white blood cell count, and an extremely low cerebrospinal fluid glucose level. The infection was cured after a second debridement operation where microsurgically revascularized free omentum was used to obliterate the cyst and to cover the cerebral hemisphere in the craniotomy defect. The use of vascularized free omentum may prove useful in cases of refractory cranial wound infection and cerebrospinal fluid fistulas.

INDEX TERMS
  • Case Reports
  • Omentum
  • Subdural Empyema
  • Received January 1988.
  • Accepted March 1988.
  • Copyright © 1989 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 56 (3)
Cleveland Clinic Journal of Medicine
Vol. 56, Issue 3
1 May 1989
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Omentum graft for intractable subdural empyema
Gene H. Barnett, Harry K. Moon
Cleveland Clinic Journal of Medicine May 1989, 56 (3) 311-315;

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Omentum graft for intractable subdural empyema
Gene H. Barnett, Harry K. Moon
Cleveland Clinic Journal of Medicine May 1989, 56 (3) 311-315;
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