Background: Parafalcine subdural empyema, a collection of pus in the space between the dura and arachnoid alongside the falx cerebri, is a rare type of intracranial suppuration. The surgical management of subdural empyema has been an evacuation of the pus through a bone flap after a craniectomy, or craniotomy, or its aspiration by a burr hole. Meanwhile, the parafalcine location of the empyema, makes its evacuation tricky and need a simple and more safe surgical procedure. Observations: We report a case of a 25-year-old man with a past medical history of sinusitis, admitted for parafalcine subdural empyema that was successfully managed by stereotactic aspiration of the pus. Lessons: The Leksell stereotactic management of a parafalcine subdural empyema is a way forward as an adequate, safe, costless, and replicable surgical procedure allowing a complete evacuation of the pus.
Background: Parafalcine subdural empyema, a collection of pus in the space between the dura and arachnoid alongside the falx cerebri, is a rare type of intracranial suppuration. The surgical management of subdural empyema has been an evacuation of the pus through a bone flap after a craniectomy, or craniotomy, or its aspiration by a burr hole. Meanwhile, the parafalcine location of the empyema, makes its evacuation tricky and need a simple and more safe surgical procedure. Observations: We report a case of a 25-year-old man with a past medical history of sinusitis, admitted for parafalcine subdural empyema that was successfully managed by stereotactic aspiration of the pus. Lessons: The Leksell stereotactic management of a parafalcine subdural empyema is a way forward as an adequate, safe, costless, and replicable surgical procedure allowing a complete evacuation of the pus.