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Subdural empyema

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Previous nasopharyngeal SCC, now presents with meningism and seizures.

Patient Data

Age: Adult
Gender: Male
mri

MRI demonstrates extensive subdural collections with marginal enhancement and diffusion restriction. Findings consitent with subdural empyema. 

Case Discussion

Typical appearances of extensive bilateral subdural empyemas. 

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