Stereotactic Management of a Parafalcine Subdural Empyema: Case Report and Review of the Literature

Article Fingerprint
Research ID 11YLZ

Abstract

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.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

Not applicable

Data Availability

The datasets used in this study are openly available at [repository link] and the source code is available on GitHub at [GitHub link].

Funding

This work did not receive any external funding.

Cite this article

Generating citation...

Related Research

  • Classification

    NLMC CODE: WF 745

  • Version of record

    v1.0

  • Issue date

    04 October 2021

  • Language

    English

Iconic historic building with domed tower in London, UK.
Open Access
Research Article
CC-BY-NC 4.0