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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.
Abstract:
Subdural empyema (SDE) is collection of pus in the potential space between the dura and arachnoid layers of the meninges. Leading causes of SDE are sinonasal and otomastoid infections. Commonly affecting patients in the second and third decades, SDE could have a fulminant course with immediate complications and delayed morbidities including hydrocephalus, focal deficits, and epilepsy.
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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