感染性硬膜下血腫が疑われた1例

A Case of Infected Subdural Hematoma

Ⅰ．はじめに

　慢性硬膜下血腫に感染が合併した感染性硬膜下血腫（infected subdural hematoma，以下ISH）は発生機序が硬膜下膿瘍と異なると考えられ，またその報告例も少ない．今回，われわれは痙攣発作にて発症したISHと思われる1例を経験したので報告する．

　A 87-year old male was admitted to our hospital due to generalized convulsion with loss of consiousness. He was afebrile and his blood sampling was not infectious. Computed tomography scan suspected left chronic subdural hematoma. Burr hole drainage was performed to remove the hematoma, but the abscess was aspirated in the subdural space. Infected subdural hematoma is rare. We discuss the clinical presentation, diagnosis and treatment, and also briefly review the literature.