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Published on: February 9, 2011
Complicated subdural empyema in an adolescent.
Alice Ann Holland1, Michael Morriss, Paul C Glasier
1Department of Psychology, Children's Medical Center, Dallas, TX 75235, USA. Alice.Ann.Holland@childrens.com
Summary
Intracranial empyema, a rare brain infection, can cause lasting neuropsychological deficits. This case highlights impacts on language, processing speed, and motor skills, emphasizing the need for clinical awareness.
Area of Science:
- Neurology
- Neurosurgery
- Neuropsychology
Background:
- Intracranial empyema is a rare but serious complication of sinusitis.
- Neuropsychological outcomes of intracranial empyema are not well-documented.
Observation:
- A 15-year-old male presented with symptoms including fever, headache, and neurological deficits.
- Imaging revealed a right-sided subdural empyema causing significant brain herniation.
Findings:
- The patient experienced deficits in expressive language, processing speed, and fine motor function.
- These deficits persisted for at least 6 months post-treatment.
- Radiological findings correlated with the observed mass effect on brain structures.
Implications:
- This case underscores the potential for significant and prolonged neuropsychological impairment from intracranial empyema.
- Clinicians should consider neuropsychological assessment in patients with this condition.
- Understanding the anatomical and functional impact is crucial for managing this rare neurological emergency.
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