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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2023; 12(03): 258-262
DOI: 10.1055/s-0042-1757207
Commentary

Tubercular Subdural Empyema with Tubercular Abscess: Lessons Learnt

Rajkumar Pannem 
1   Department of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, India
,
Ridham Ashokbhai Kanderia
1   Department of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, India
,
Rajnish Kumar Arora
1   Department of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, India
,
Radhey Shyam Mittal
1   Department of Neurosurgery, All India Institute of Medical Science (AIIMS), Rishikesh, Uttarakhand, India
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Abstract

Tuberculosis (TB) is still one of the major health care problems in many developing countries. Among various forms of TB, central nervous system (CNS) TB causes significant morbidity and mortality. CNS TB can present in various forms: cerebritis, abscess, meningitis, tuberculoma, calcified granuloma, meningitis, or hydrocephalus. But subdural empyema is a very rare form of presentation. Very few cases have been reported till now in the literature. So, high level of suspicion, thorough microbiological and histological investigations to diagnosis, and early and timely inception of anti-TB medication are keys in its management. Here, we are presenting a case of tubercular subdural empyema that was successfully treated with surgical evacuation and anti-TB medication.

Keywords

CNS - tuberculosis - subdural empyema - tubercular abscess


Publication History

Article published online:
13 January 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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