ADMINISTRATION OF METHYLPREDNISOLONE ACETATE INTO THE SUBDURAL CAVITYIN AN INFANT WITH SUBDURAL FLUID COLLECTION - PAF IS A GOOD INDICATOROF THE EFFICACY OF THE TREATMENT
S. Endo et al., ADMINISTRATION OF METHYLPREDNISOLONE ACETATE INTO THE SUBDURAL CAVITYIN AN INFANT WITH SUBDURAL FLUID COLLECTION - PAF IS A GOOD INDICATOROF THE EFFICACY OF THE TREATMENT, Child's nervous system, 14(8), 1998, pp. 354-356
We report on the successful treatment of a case of infantile subdural
fluid collection after cardiac surgery by administration. of methylpre
dnisolone acetate into the subdural cavity. The protein content in sub
dural fluid did not change even after administration of this steroid a
nd was not a good indicator of the efficacy of treatment; however, the
content of platelet-activating factor (PAF), an inflammatory mediator
, in the fluid removed from the subdural cavity decreased rapidly afte
r administration of the steroid. Subdural fluid collection subsequentl
y decreased and mental retardation was improved. Our findings suggest
that PAF content is a good indicator of the severity of infantile subd
ural fluid collection.