Subdural empyema is accumulation of pus between the arachnoid and dura matter. It is usually seen secondary to meningitis in childhood. Fever, headache, seizures, altered consciousness, focal neurological signs such as hemiparesis can be seen. Computed tomography and magnetic resonance imaging (MRI) are used in the diagnosis of subdural empyema. Contrast cranial and diffusion-weighted MRI seems to be much more effective in dsitinguishing subdural empyema from subdural effusion. In case of delay in diagnosis and treatment subdural empyema can lead to increased morbidity or mortality. In this article, we report a thirteen-year-old girl who had subdural empyema secondary to meningitis.
Keywords: child, magnetic resonance imaging, meningitis, subdural empyema