Subgaleal abscess with small epidural abscess

Case contributed by Dr Ian Bickle

Presentation

25-year-old diabetic. Occipital swelling. No erythema.

Patient Data

Age: 25 years
Gender: Male
Modality: MRI

Thick walled enhancing left occipital subgaleal collection with internal diffusion restriction.  This is contiguous a 1.5cm defect in the inner and outer table of the skull.

The underlying dura is thickened and enhancing with a small epidural collection best seen on sagittal post contrast T1 as a slit of non-enhancement.

The remainder of the intracranial appearances is normal.

Case Discussion

An example of a large subgaleal collection with intracranial extension.  The inner and outer tables of the skull both destroyed from the neighbouring infective process.

The patient underwent incision and drainage confirming this diagnosis.

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Case Information

rID: 52704
Case created: 18th Apr 2017
Last edited: 24th Apr 2017
Inclusion in quiz mode: Included

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