|
Subdural Empyema
History: 18 year old female with 2 month history of seizures. Fever and headache for the last two weeks.
|
|
|
Findings:
An enhancing subdural fluid collection is noted over the right frontal convexity
with considerable vasogenic edema and mass effect seen on the T2-weighted and
FLAIR images.
Differential:
- Subdural Embyema
- Epidural abscess
- Intracerebral abscess
- Necrotic (agressive)malignancy, e.g., GBM (unlikely)
Discussion:
Salmonella is unusual in an immuno-competent patient as this patient was. There was a history of chronic otitis media though no acute otitis was found on admission.
|
|
 |
