Subdural empyema in 12-year-old girl: the value of magnetic resonance imaging.
A 12-year-old girl presented with an acute history of fever, headaches, and focal neurological deficits. An initial computed tomography (CT) scan of the head was nondiagnostic whereas plain and gadolinium-enhanced magnetic resonance imaging (MRI) detected an extensive subdural empyema. The report emphasizes the hazard of relying on a nondiagnostic CT scan in a septic patient with deteriorating neurological function, and the need of MRI with contrast enhancement if subdural empyema is a serious clinical concern.
Division of Pediatric Neurology, Schneider Children's Hospital, Long Island Jewish Medical Center, New Hyde Park, NY 11040, USA.
J
J
Maytal
M
M
Patel
S
S
Apeatu
S
S
Schneider
L
L
Eviatar
D002648:Child; D003937:Diagnosis, Differential; D013354:Empyema, Subdural / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D005334:Fever / Q000175:diagnosis; D005500:Follow-Up Studies; D005682:Gadolinium; D006261:Headache / Q000175:diagnosis; D006801:Humans; D007089:Image Enhancement; D008279:Magnetic Resonance Imaging; D018805:Sepsis; D014057:Tomography, X-Ray Computed
D005682:Gadolinium