Effusion Subdural

ʻO ka effusion subdural kahi hōʻiliʻili o ka wai cerebrospinal (CSF) i hoʻopaʻa ʻia ma waena o ka ʻili o ka lolo a me ka uhi waho o ka lolo (ka mea dura). Inā maʻi ʻia kēia wai, kapa ʻia ke ʻano he empyema subdural.

ʻO ka effusion subdural kahi mea paʻakikī loa o ka meningitis i hoʻokumu ʻia e nā bacteria. Hoʻonui pinepine ʻia ka Subdural effusion i nā pēpē.

Hiki ke hana i ka effusion subdural ma hope o ke poʻo o ke poʻo.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO ke kīloi waho o kahi wahi palupalu o kahi pēpē (bulging fontanelle)
• Nā ākea ākea ma nā hui pū o ka iwi poʻo o kahi pēpē (hoʻokaʻawale ʻia)
• Hoʻonui i ke anapuni poʻo
• ʻAʻohe ikehu (lethargy)
• Ke kuni hoʻomau
• Ka hopu ʻana i nā maʻi
• ʻO ka luaʻi
• Nāwaliwali a nalowale paha o ka neʻe ʻana ma nā ʻaoʻao ʻelua o ke kino

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli.

E ʻike ai i ka effusion subdural, nā hoʻokolohua e hana ʻia paha e hoʻopili ʻia:

• CT scan o ke poʻo
• Ana o ke poʻo (ke anapuni) nā ana
• MRI scan o ke poʻo
• Ultrasound o ke poʻo

ʻO ke keʻoki e hoʻopau ai i ka effusion pinepine pono. I nā hihia maʻamau, pono ʻia kahi mea hoʻokahe mau (shunt) e hoʻokahe i ka wai. Pono paha e hāʻawi ʻia nā lāʻau antibiotic ma o kahi aa koko.

Hiki ke hoʻopili ʻia i ka mālama ʻana:

• ʻOki kino e hoʻopau i ka effusion
• ʻO ka hāmeʻa hoʻoliʻiliʻi, i kapa ʻia he shunt, waiho ma kahi no kahi manawa pōkole a ʻoi aku paha ka manawa
• Hāʻawi ʻia nā antibiotic ma o ke aa e mālama ai i ka maʻi

Kuhi ʻia ka hoʻōla piha mai kahi effusion subdural. Inā hoʻomau nā pilikia ʻōnaehana ʻōnaehana, pili mau ia i ka meningitis, ʻaʻole ka effusion. ʻAʻole pono nā antibiotic wā lōʻihi.

Komo pū kekahi nā pilikia o ke kaha ʻana:

• Kahena
• Poino lolo
• Maʻi kīnā

Kāhea i ka mea hāʻawi inā:

• Ua mālama ʻia kāu keiki no ka meningitis a hoʻomau mau nā ʻōuli
• Hoʻolālā nā ʻōuli hou

ʻO De Vries LS, Volpe JJ. ʻO nā maʻi a me nā maʻi intracranial fungal. I: Volpe JJ, Inder TE, Darras BT, et al, eds. ʻO Volpe's Neurology o ke keiki hānau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 35.

Kim KS. ʻO ka meningitis koʻohune ma ʻō aku o ka wā neonatal. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 31.

Nath A. Meningitis: bacterial, viral, a me nā mea ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 412.