Intracranial epidural abscess

Discussion:

Sinusitis complicated by intracranial extension remains a severe problem in clinical practice 1, 2. Intracranial epidural abscess or empyema refers to infection between the inner table of the skull and the dura mater 2. This patient had a good outcome with antibiotic therapy and neurosurgical drainage of the intracranial collection, which confirmed epidural empyema.

This patient has café-au-lait skin macules and a first-degree relative with neurofibromatosis type 1, which in combination with the FASI seen on the MRI, prompted an early diagnosis of the disease.

Case courtesy

  • Hetevaldo Tavares de Lira – PGY-1, neurosurgery resident, Department of Neurosurgery.
  • Sterfferson Morais, MD - PGY-3, Radiology Resident, Department of Radiology
  • Antonio Rodrigues de Aguiar Neto, MD - Radiologist, Department of Radiology
  •  Hospital da Restauração – Recife, PE – Brazil
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