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Clinical-Medical Image - International Journal of Clinical & Medical Images (2022) Volume 9, Issue 10
Author(s): Bhanu Pratap Singh*
Otorhinolaryngologist and ENT, Head and Neck Surgeon, Ajmer, India
Date of Submission: 03 October 2022, Manuscript No. ijcmi-22-78808; Editor assigned: 05 October 2022, Pre QC No. P-78808; Reviewed: 18 October 2022, QC No. Q-78808; Revised: 21 October 2022, Manuscript No. R-78808; Published: 28 October 2022, DOI: 10.4172/2376-0249.1000852
Citation: Singh BP. (2022) A Rare Case of Left Falco-Tentorial Empyema. Int J Clin Med Imaging 9:852.
Copyright: © 2022 Singh BP. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Here we present a case of 12 year old female presented with altered sensorium. She underwent MRI with MR spectroscopy (MRS): which showed restriction on DWI sequence and ring enhancing lesion after contrast, along the left falx and tentorium surface and lipid and lactate peak on spectroscopy, which was s/o empyema. Patient then underwent occipital craniotomy with drainage and excision of wall of empyema to lay open the cavity. Pus was sent for microbiological assessment and came out to be positive for acid fast bacilli. Patient had no neurological deficit postoperatively and was discharged on anti-tuberculosis treatment.
Falcotentorial empyema is a very rare entity which is a type of intracranial empyema. This can be present along the surface of falx and can present either over or below the surface of tentorium cerebelli. It can be caused by trauma, previous surgery or it can be idiopathic. It can present as serious life threatening emergencies. Urgent prompt management is mandatory for this condition which can be either in the form of medical management as well as surgical. Surgical treatment is always preferred when the patient has rapid deterioration of neurological status or the lesion is large or not amenable to medical management alone (Figure 1).
Left falco-tentorial empyema; MRI
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