Subdural Abscess

  • Definition: Collection of pus between the dura and the arachnoid.
  • It’s a rare pathology.

Clinical Picture

  • Headache without signs of meningeal irritation
  • Convulsions
  • Focal neurological deficit (paralysis, loss of sensation, visual field defects)

Investigations

  • CT scan, MRI

Treatment

  • Drainage (neurosurgeons)
  • Systemic antibiotics
  • Mastoidectomy