Journal of Clinical Case Reports

Yueh-Feng Sung

Publications

• Case Report
  Parafalcine Subdural Empyema in a Woman with Recurrent Acute Otitis Media
  Author(s): Chang-Han Lo, Chun-Chieh Lin, Yuan-Hao Chen, Giia Sheun Peng and Yueh-Feng SungChang-Han Lo, Chun-Chieh Lin, Yuan-Hao Chen, Giia Sheun Peng and Yueh-Feng Sung
  
  Subdural empyema (SDE) most frequently arises as a complication of paranasal sinusitis and is a serious intracranial infection. Parafalcine SDE, resulting from acute otitis media, is a rare phenomenon. Here, we report the case of 57 year old woman, with a history of nasopharyngeal carcinoma (NPC) with radiotherapy, 28 years ago and recent diagnosis of recurrent acute otitis media, who was admitted to the emergency department with a 2 days history of progressive right-sided limb weakness. Neurological examination revealed right-sided hemiparesis without meningeal signs. Non-enhanced computed tomography (CT) scans of the brain revealed a hypodense lesion in the left parafalcine region. Gadolinium-enhanced magnetic resonance imaging demonstrated layers of rim-enhancing subdural fluid collection and swelling of the surrounding brain, suggestive of empyema. The patient underwent surgical e.. Read More»
  DOI: 10.4172/2165-7920.1000399

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