Subdural empyema

Case contributed by Dr Alessandro Spano Mello

Presentation

Male with sinusitis, headache and meningism.

Patient Data

Age: 30
Gender: Male
MRI

MRI demonstrates frontal sinusitis with bilateral frontal collection that shows T2/FLAIR hyperintense signal and T1 hypointense signal, with T1C+ peripheral enhancement (right sided subdural and left sided epidural). The collection shows high DWI signal and low ADC signal ("true diffusion restriction").

Case Discussion

Typical findings of frontal sinusitis leading to subdural frontal empyema.

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Case information

rID: 32584
Published: 4th Dec 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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