Subdural empyema: CT findings

Journal Article · Tue Jan 31 23:00:00 EST 1984 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.150.2.6140704· OSTI ID:5234081

Zimmerman, R D; Leeds, N E; Danziger, A

CT scans in 49 patients with surgically proven subdural empyema were evaluated. The empyemas were crescentic or lentiform extra-axial hypodense collections (density approximating that of cerebrospinal fluid) with prominent, sharply etched medial rim enhancement. Enhancement of the adjacent cerebral cortex was identified in many cases. Mass effect was always present and in 10 cases so extensive that it overshadowed a small extra-axial collection. CT allowed for precise localization of the lesion, including contiguous or isolated involvement of the interhemispheric subdural space. Mortality was 12% (6/49 cases), a marked improvement when compared with mortality figures obtained prior to the advent of CT (40%). CT findings indicative of involvement of the adjacent parenchyma via retrograde thrombophlebitis with resultant infarction and/or abscess formation were associated with poor prognosis. Improvement in prognosis since the advent of CT is the direct result of early accurate diagnosis and timely intervention.

• Research Organization: Montefore Medical Center, Bronx, NY
• OSTI ID: 5234081
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 150:2; ISSN RADLA
• Country of Publication: United States
• Language: English

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59 BASIC BIOLOGICAL SCIENCES
62 RADIOLOGY AND NUCLEAR MEDICINE
ABSCESSES
BODY
BODY AREAS
BRAIN
CENTRAL NERVOUS SYSTEM
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
HEAD
MEMBRANES
MENINGES
NERVOUS SYSTEM
ORGANS
PATHOLOGICAL CHANGES
PATIENTS
TOMOGRAPHY