Subdural empyema

Case contributed by Mohammad Nawaz Nasery , 19 May 2019
Diagnosis almost certain
Changed by Ian Bickle, 19 Mar 2020

Updates to Case Attributes

Age changed from 14 y to 14 years.
Diagnostic Certainty was set to .
Body was changed:

These imaging appearances are highly suggestive of extensive subdural empyema along the left cerebral hemisphere.

Subdural empyemas are uncommon extra-axial lesions, accounting for 20-33% of intracranial infection. Major cases occur in the setting of the sinusitis, it. It has a fulminant clinical finding and requires prompt diagnosis and emergency neurosurgical intervention.

Less  It less commonly occuroccurs in the setting of post-traumatic hematomahaematoma due to secondary infection or post-surgical infection which has a long clinical course.

  • -<p>subdural empyemas are uncommon extra-axial lesions, accounting for 20-33% of intracranial infection. Major cases occur in the setting of the sinusitis, it has a fulminant clinical finding and requires prompt diagnosis and emergency neurosurgical intervention.</p><p>Less commonly occur in post-traumatic hematoma due to secondary infection or post-surgical infection which has a long clinical course.</p>
  • +<p>These imaging appearances are highly suggestive of extensive subdural empyema along the left cerebral hemisphere.</p><p>Subdural empyemas are uncommon extra-axial lesions, accounting for 20-33% of intracranial infection. Major cases occur in the setting of the sinusitis. It has a fulminant clinical finding and requires prompt diagnosis and emergency neurosurgical intervention.  It less commonly occurs in the setting of post-traumatic haematoma due to secondary infection or post-surgical infection which has a long clinical course.</p>

Updates to Study Attributes

Findings was changed:

There is a largeLarge subdural collection along the left fronto-parietofrontoparietal-occipital lobes region which is low inon T1 and high in T2 and showing peripheral enhancement associated with adjacent dural and leptomeningeal enhancement inon post contrast-contrast T1 weighted image as well as a restriction pattern inon DWI and corresponding ADC map sequences.

The collection is causing mass effect over the left cerebral hemisphere.

Interpretation:

This imaging appearance is suggestive of extensive subdural empyema along the left cerebral hemisphere.

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