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Massive falx cerebri empyema
1Department of Neurosurgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India.
Neurology India
|July 17, 2003
Summary
A rare case of otogenic massive intra-falx empyema, an infection in the brain, was successfully treated. Surgical drainage led to complete recovery, highlighting effective intervention for this uncommon condition.
Area of Science:
- Neurosurgery
- Infectious Diseases
Background:
- Otogenic infections can rarely lead to intracranial complications.
- Intra-falx empyema is an uncommon but serious manifestation.
Observation:
- A patient presented with an 8-month history of headache, vomiting, and left lower limb weakness.
- CT scan identified two cavities within the falx cerebri.
Findings:
- Surgical intervention involved a right fronto-parietal craniectomy and interhemispheric drainage.
- A large volume of thick pus was evacuated, and the falx was marsupialized with the dura.
Implications:
- This case demonstrates the successful management of a rare otogenic intra-falx empyema.
- Prompt surgical intervention and drainage can lead to complete patient recovery.
- Highlights the importance of considering rare intracranial complications in otogenic infections.