Rijetki slučaj empijema cavum septi pellucidi i principi neurokirurškog zbrinjavanja prikaz slučaja s pregledom literature

• Published in: Medica Jadertina (Zagreb) Vol. 53; no. 1; pp. 55 - 60
• Main Authors: Bečulić, Hakija, Skomorac, Rasim, Jusić, Aldin, Selimović, Edin, Begagić, Emir, Juković-Bihorac, Fatima, Efendić, Alma
• Format: Journal Article
• Language: English
• Published: 02-06-2023
• ISSN: 1848-817X; 1848-817X
• DOI: 10.57140/mj.53.1.7

Aim: To present a very rare case of empyema cavuma septi pellucidi. Case report: A 5-year-old male child was admitted to the Department of Infectious Diseases Cantonal Hospital Zenica because of fever (38.30C), headache and vomiting. The patient developed intracranial hypertension as a result of a compressive purulent collection formed due to meningitis between the lamine of the septum pelucidum with consequent intracranial hypertension. Conclusion: The decision regarding the modality of treatment was not easy. We considered that empyema evacuation using the transcallosalinterhemispheric approach allows the complete removal of purulent collection and the placement of drainage, which allows additional emptying of the empyema cavity and prevents empyema recurrence. Empyema evacuation with drainage and antibiotic therapy have shown beneficial results.
Septum pelucidum je tanka, dvoslojna pregrada situirana između korpuska lozuma i forniksa. Najčešćaanatomska varijacija je perzistentan kavum septi pelucidi. Nakupljanje gnojnog sadržaja između laminaseptum peluciduma je vrlo rijetko. Opisano je samo nekoliko slučajeva u literaturi. Prezentirali smozanimljiv slučaj djeteta koje je razvilo intrakranijalnu hipertenziju kao rezultat kompresije gnojne kolekcijeizmeđu lamina septum peluciduma, a koja je nastala kao komplikacija meningitisa. Evakuacija empijema iantibiotska terapija dali su dobre rezultate.