J Korean Neurosurg Soc.  1981 Sep;10(2):595-600.

Intracranial Subdural Empyema: Case Report

• Kim YB
• Suk JS
• Choi DY
• Rhim KS

Abstract

Subdural empyema is a uncommon fulminating disease which rapidly terminates in death if untreated. When a patient with acute sinus or otitic infection complain headache, vomiting, impairment of consciousness, seizures of focal neurological signs, the possibility of intracranial infection should be considered. We recently experienced a case of subdural empyema in a 22 yrs old male who had not any previous history of infection. This patient with signs of IICP and seizures was diagnosed as space occupying lesion in the subdural space, right frontotemporal by carotid angiography but trephination revealed a subdural empyema which was drainaged through multiple burr holes. After 2 weeks of uneventful course, the computed tomography was done because of reappeared signs of IICP and three encapsualated subdural abscess were found. The patient was discharged from hospital in the excellent condition after total extirpation through craniotomy of above abscess.

MeSH Terms

Abscess
Angiography
Consciousness
Craniotomy
Empyema, Subdural*
Headache
Humans
Male
Seizures
Subdural Space
Trephining
Vomiting