title: Challenging pyogenic cerebral abscess complicated by subdural empyema. A case report.
abstract: Brain abscesses develop in response to a parenchymal infection with pyogenic bacteria, beginning as a localized area of cerebritis and evolving into a suppurative lesion surrounded by a well-vascularized fibrotic capsule. The leading etiologic agents of brain abscess are the streptococcal strains and S. aureus. Abscesses may also be secondary to fungal or parasitic organisms. Brain abscess represents a significant medical problem, accounting for one in every 10,000 hospital admissions in the United States, and remains a serious situation despite recent advances made in detection and therapy. These lesions often produce complex clinical and radiologic findings and require prompt recognition and treatment to avoid a fatal neurologic outcome. Subdural empyema represents an important type of intracranial suppurative infectious-inflammatory disorder. Clinically, these patients initially have signs and symptoms of meningitis, but this course might be complicated later by the development of seizures and focal neurologic signs.
authors.affiliation: Radiology Department, The University of Texas Health Science Center at San Antonio; San Antonio, TX, USA - valenciavele@uthscsa.edu.
authors.forename: M P
authors.initials: MP
authors.lastname: Valencia
authors.forename: A
authors.initials: A
authors.lastname: Moon