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Vol. 12. Issue 4.
Pages 338-341 (January 2001)
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Vol. 12. Issue 4.
Pages 338-341 (January 2001)
Absceso epidural intracraneal en neonato secundario a catéter cutáneo
Neonatal intracranial epidural abscess secondary to a scalp vein catheter
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L.M. Fernández
, A. Callejón, S. López
Servicios de Pediatría. Hospital Nuestra Señora de Candelaria. Santa Cruz de Tenerife
J. Domínguez*, A. Pérez-Avila*, V. Martín**
* Servicios de Neurocirugía. Hospital Nuestra Señora de Candelaria. Santa Cruz de Tenerife
** Servicios de Neurorradiología. Hospital Nuestra Señora de Candelaria. Santa Cruz de Tenerife
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Resumen

Los abscesos o empiemas epidurales intracraneales son lesiones poco comunes, siendo más frecuentes en niños mayores y adultos. Generalmente son consecuencia de la extensión directa de una infección subyacente y raramente se presentan con focalidad neurológica. Presentamos un caso de absceso epidural intracraneal en un recién nacido pretérmino de 11 días de vida, cuyo probable mecanismo de infección fue un catéter venoso cutáneo colocado en una vena epicraneal homolateral. El diagnostico se realizó en base a las imágenes obtenidas en la ecografía transcraneal y la TAC cerebral. En todas las muestras obtenidas se cultivó Enterococcus faecium. Se realizó una craneotomía frontal derecha con evacuación del material purulento y se administró antibioterapia endovenosa durante 2 semanas. La TAC craneal realizada 3 semanas después de la intervención no evidenció lesiones residuales.

Ante un absceso epidural intracraneal en este grupo de edad, la presencia de un catéter venoso cutáneo, en ausencia de otros factores predisponentes, debe ser considerada como causa del proceso.

Palabras clave:
Absceso epidural
Tomografía computerizada
Ecografía transcraneal
Summary

Intracranial epidural abscesses are uncommon lesions, being more frequents in older children and adults. They commonly arise as a result of direct extension of a preexisting infection and rarely present with focal deficit. We present a case of a 11- daysold preterm infant who developed an intracranial epidural abscess as a result of an infected scalp vein catheter. The diagnosis was made on the basis of the cranial ultrasound and CT sean images. An identified strain of Enterococcus faecium was cultured from all the samples. The patient underwent a right frontal craniotomy with drainage of the abscess and a 2-week total course of intravenous antibiotics was administrated. CT sean imaging 3 week after the procedure demonstrated no evidence of residual lesion.

When present, a scalp vein catheter, in absence of others predisponing factors, must be considered as an etiologic agent for an intracranial epidural abscess in this age-group.

Key words:
Epidural abscess
CT-Scan
Cranial ultrasound

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