Article in Japanese

The steroid therapy for a postmeningitis subdural effusion

Yoshinobu OYAZATO, Atsushi NISHIYAMA, Takayuki KODERA, Atsuko NAKAGAWA, Yuko HAGIWARA

Subdural effusion (SDE) is one of the complications of purulent meningitis, but active treatment is not provided initially. However, when SDE becomes obstinate, the management is difficult because a treatment protocol has not been established. We experienced an 11-month-old patient with meningitis who improved with steroid therapy for SDE after puncture drainage and chloramphenicol administration were ineffective. By the measurement of inflammatory cytokines of the SDE, we revealed that the SDE had a non-bacterial inflammation secondary to elevated cytokines. We suggest that steroid therapy is useful for the management of postmeningitis SDE.

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Department of Pediatrics, Kakogawa West City Hospital

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Received	July 1, 2011
Accepted	November 22, 2011

24 (1)：35─40,2012