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Bifrontal craniotomy for drainage of bilateral subdural empyema

Bifrontal craniotomy for drainage of bilateral subdural empyema
Intraoperative photograph of a child undergoing bifrontal craniotomy for drainage of bilateral subdural empyema. Note the extensive purulent material over the surface of the exposed brain. Thrombosed superficial veins are also visible (arrow). The child developed subdural empyema as a complication of Haemophilus influenzae meningitis.
Courtesy of Sandi K Lam, MD, MBA, Texas Children's Hospital and Baylor College of Medicine.
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