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Subdural effusion

 

Definition

A subdural effusion is a collection of pus beneath the outer lining of the brain.

Causes

A subdural effusion is a rare complication of bacterial meningitis. Subdural effusion is more common in infants and in persons who have meningitis caused by Haemophilus influenzae.

Symptoms
Signs and tests

There is often a recent history of bacterial meningitis. Tests include:

Support Groups

Expectations (prognosis)

Full recovery from a subdural effusion is expected. If neurological problems continue, they are generally due to the meningitis, not the effusion. Long-term use of antibiotics is usually not necessary.

Calling your health care provider

Call your health care provider if:

  • Your child has recently been treated for meningitis and symptoms continue
  • New symptoms develop
Complications

Complications from surgery include:

  • Bleeding
  • Damage to brain structures, which can lead to temporary or permanent brain and nervous system (neurological) problems
  • Infection
Treatments

Surgery to drain the effusion is often necessary. Rarely, a permanent drainage device (shunt) is needed to drain fluid. Antibiotics may need to be given through a vein.

Prevention

References

Swartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 437.


Review Date: 10/30/2008
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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