Rapidly Developing Subdural Empyema in an Adult with Sinusitis: A Neurosurgical Threat Alert

Kabilan Chokkappan1, Rahul Lohan1

  • 1Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore.

Insights

Subdural empyema (SDE), a pus collection between meninges, often stems from sinus or ear infections. This serious condition can rapidly progress, leading to severe neurological issues like hydrocephalus and epilepsy.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Subdural empyema (SDE) is a critical intracranial infection characterized by pus accumulation in the subdural space.
  • It primarily arises from contiguous spread of infections, most commonly sinonasal and otomastoid sources.
  • SDE typically affects young adults (second and third decades) and can present with rapid deterioration.

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