CASE HISTORY/CLINIC:
23-year-old patient with headache that has been increasing in intensity for a number of days. Patient is somnolent.



FINDINGS:
Homogeneous hypodense epidural and subdural collection with prominent peripheral contrast enhancement. no contrast enhancement in the superior sagittal sinus on the sagittal and coronal MPR.
Mucosal swelling and collection with air-fluid level in the paranasal sinuses.


DIAGNOSIS:
Epidural- and subdural empyema with thrombosis of the sagittal sinus caused by an acute as well as a chronic pansinusitis


 





FINDINGS



DIAGNOSIS