Empyèmes sous-duraux de l'enfant : stratégie thérapeutique

We advocate an aggressive surgical treatment of SDE in children with a large bone flap to allow the surgeon to remove pus and membranes as much as possible, even in the interhemispheric fissure, followed by intravenous appropriate antibiotherapy and eradication of the source of infection. Even this “aggressive” treatment may sometimes not avoid re-operation. A careful follow-up is mandatory, because of the high risk of recurrence.