Summary
Contrast-enhanced magnetic resonance images (MRI) of three patients with subdural (SDE) and two with epidural empyemas (EDE) were reviewed. In each case, the capsule of the lesion demonstrated enhancement, and distinction between capsule and contents was obvious on contrast-enhanced images. In SDE, contrast-enhanced images clearly depicted thickening of the neighbouring dura mater and a co-existent brain abscess. In EDE, part of the displaced dura mater did not enhance, which facilitated differentiation from SDE. Contrast-enhanced MRI was thus of value in diagnosis.
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References
Dazinger A, Price H, Schechter MM (1980) An analysis of 113 intracranial infections. Neuroradiology 19: 31–34
Blaquière RM (1983) The computed tomographic appearances of intra- and extracerebral abscess. Br J Radiol 56: 171–181
Weingarten K, Zimmerman RD, Becker RD, Heier LA, Haimes AB, Deck MDF (1989) Subdural and epidural empyemas: MR imaging. AJNR 10: 81–87
Moseley IF, Kendall BE (1984) Radiology of intracranial empyemas, with special reference to computed tomography. Neuroradiology 26: 333–345
Sze G, Zimmerman RD (1988) The magnetic resonance imaging of infections and inflammatory diseases. Radiol Clin North Am 26: 839–859
Joubert MJ, Stephanov S (1977) Computed tomography and surgical treatment in intracranial suppuration. Report of 30 consecutive unselected cases of brain abscess and subdural empyema. J Neurosurg 47: 73–78
Scharif HS, Ibrahim A (1982) Intracranial epidural abscess. Br J Radiol 55: 81–84
Luken MG, Whelan MA (1980) Recent diagnostic experience with subdural empyema. J Neurosurg 52: 764–771
Post EM, Modesti LM (1981) “Subacute” postoperative subdural empyema. J Neurosurg 55: 761–765
Lott T, El Gammal T, Dasilva R, Hanks D, Reynold J (1977) Evaluation of brain and epidural abscesses by computed tomography. Radiology 122: 371–376
Sadhu VK, Handel SF, Pinto RS, Glass TF (1977) Neuroradiologic diagnosis of subdural empyema and CT limitations. AJNR 1: 39–44
Dunker RO, Khakoo RA (1981) Failure of computed tomographic scanning to demonstrate subdural empyema. JAMA 246: 1116–1118
Zimmerman RD, Leeds NE, Danziger A (1984) Subdural empyema: CT findings. Radiology 150: 417–422
Weisberg L (1986) Subdural empyema. Clinical and computed tomographic correlation. Arch Neurol 43: 497–500
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Tsuchiya, K., Makita, K., Furui, S. et al. Contrast-enhanced magnetic resonance imaging of sub- and epidural empyemas. Neuroradiology 34, 494–496 (1992). https://doi.org/10.1007/BF00598958
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DOI: https://doi.org/10.1007/BF00598958