Juxtapositioning of the temporalis muscle for intractable subdural empyemain infants

We present a case of refractory infantile subdural empyema secondary to pne umococcal meningitis. Initial treatment was with antibiotics and multiple b urr hole drainage of the subdural space. As there was no significant improv ement with this standard procedure, craniectomy, and juxtapositioning of th e temporalis muscle was conducted and the patient recovered promptly. (C) 2 000 by Elsevier Science Inc.