Subdural empyema

Case contributed by A.Prof Frank Gaillard

Presentation

Meningism.

Patient Data

Age: Adult
CT

CT brain

Faintly seen is an extra-axial collection medial to the left frontal lobe. Frontal sinuses are opacified.

MRI

MRI brain

MRI demonstrate bilateral thin but widespread peripherally enhancing subdural collections associated wtih florid leptomeningeal enhancement. The frontal sinuses are opacified, and represent the likely source of infection. 

Case Discussion

Subdural empyema is an uncommon form of intracranial infection in the industrialised world where meningism is usually promptly treated. 

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Case information

rID: 8917
Case created: 9th Mar 2010
Last edited: 24th Nov 2015
Inclusion in quiz mode: Included

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