Presentation
Headache and fever. Abnormal CT in the community.
Patient Data
Peripherally enhancing extra axial, intracranial collection overlying left temporal lobe. Peripheral smooth enhancement with adjacent dural thickening and lateral aspect of the collection is in direct continuity with the overlying temporal bone. Cortical buckling and CSF cleft surrounding the collection. Central diffusion restriction within the collection and mastoid effusion. No blooming artefact. T2/FLAIR hyperintensity within the left temporal lobe white matter with extension into the left basal ganglia. No further collections identified.
Case Discussion
The patient underwent burr hole aspiration in theatre which drained pus. ENT inserted a tympanostomy tube and performed a mastoidectomy.
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