Seven patients with subdural empyema were initially treated by antibiotics without surgery. Six have recovered without sequelae. One required delayed surgery and has recovered with epilepsy. The authors emphasise the use of CT for the diagnosis and follow-up of subdural empyema, the principles and modalities of non-surgical treatment, and the good results, especially for late morbidity.

We report a case of a cerebral aneurysm arising from the bifurcation of the left middle cerebral artery that ruptured into a left middle cranial fossa arachnoid cyst, associated with acute subdural hematoma. We discuss the relationships of aneurysm, arachnoid cyst, and subdural hematoma.

− Subdural electrodes are useful in selected patients with cortical dysplasia for planning resective epilepsy surgery. Their potential risks have to be balanced against the diagnostic yield and expected benefit of epilepsy surgery for the patient. Recent advances in imaging techniques now allow more accurate placement of the subdural electrodes and also limit the number required.

www.japi.org © JAPI • VOL. 54 • AUGUST 2006 replacement therapy in patients of chronic renal failure who develop subdural hematoma on hemodialysis. We suggest that the possibility of subdural hematoma should be entertained in those patients of chronic renal failure on CAPD who present with altered behavior, headache and restlessness. Early diagnosis and prompt surgical management may prove very...

Malaria is a major health problem in tropical countries. Among its complications, cerebral malaria is the most devastating and can present as hemiplegia, convulsions, disorientation, delirium, coma and finally death1,2. Rare complications of cerebral malaria such as spontaneous subdural empyema and subarachnoid hemorrhage has also been reported in literature1,3,4. We report development of spont...

A 65 year old man, anticoagulated for cardiac problems, developed hemiparesis while training for race walking. A computed tomography scan showed a chronic subdural haematoma. This is the first report of a chronic subdural haematoma possibly caused by the jarring action of race walking.

One case of traumatic posterior fossa subdural hematoma (PFSH) is described. This location represent 1% of the subdural hematomas. Computerized Tomography (CT) was used in the diagnosis and follow-up of the hematoma. The etiology and physiopathology of this process are discussed.

The Mount Fuji sign is seen in bilateral subdural hypertensive pneumocephalus. These air collections cause compression of the frontal lobes, which take a shape similar to the silhouette of Mount Fuji. It is most commonly seen after surgical decompression of a chronic subdural hematoma. However, it may also be observed following head trauma, otogenic infections, nitrous oxide anesthesia and diving.

The report on subdural empyema by EK Ranjini and colleagues alerts us to the severity of pneumococcal meningitis in young infants(1). Of the three infants in their series with pyogenic meningitis complicated by subdural empyema, two died and the third was taken home moribund, in spite of accurate diagnosis and appropriate treatment. There are several important lessons to be learned from this re...

Percutaneous epidural neuroplasty (PEN) is a known interventional technique for the management of spinal pain. As with any procedures, PEN is associated with complications ranging from mild to more serious ones. We present a case of intracranial subdural hematoma after PEN requiring surgical evacuation. We review the relevant literature and discuss possible complications of PEN and patholophysi...