CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(04): 823-825
DOI: 10.1055/s-0043-1777273
Case Report

Spontaneous Subdural Empyema: A Case Report

Deep Dutta
1   Department of Neurosurgery, Apollo Hospitals Guwahati, Guwahati, Assam, India
Shameem Ahmed
1   Department of Neurosurgery, Apollo Hospitals Guwahati, Guwahati, Assam, India
Abhigyan Borkotoky
1   Department of Neurosurgery, Apollo Hospitals Guwahati, Guwahati, Assam, India
› Author Affiliations


Subdural empyema is the collection of purulent material between the dura mater and arachnoid. Subdural empyema most often occurs due to the direct extension of local infection. But spontaneous subdural empyema is a rare entity. In literature, not many cases of spontaneous subdural empyema by Escherichia coli are reported. Here we report a case of spontaneous subdural empyema along with a review of literature who was previously treated on the suspicion of encephalitis with urinary tract infection and then brought to our hospital.

Publication History

Article published online:
29 December 2023

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  • References

  • 1 Khan M, Griebel R. Subdural empyema: a retrospective study of 15 patients. Can J Surg 1984; 27 (03) 283-285 , 288
  • 2 Kubil CS, Adams RD. Subdural empyema. Brain 1943; 66: 18-42
  • 3 Hockley AD, Williams B. Surgical management of subdural empyema. Childs Brain 1983; 10 (05) 294-300
  • 4 Bradley PJ, Shaw MD. Subdural empyema management of the primary source. Br J Clin Pract 1984; 38 (03) 85-88
  • 5 Courville CB. Subdural empyema secondary to purulent frontal sinusitis. Arch Otolaryngol 1944; 39: 211-230
  • 6 Gormley WB, del Busto R, Saravolatz LD. et al. Cranial and intracranial bacterial infections. Neurological Society 1996; 3191: 220
  • 7 Pathak A, Sharma BS, Mathuriya SN. et al. Controversies in the management of subdural empyema. Acta Paediatr Scand 1975; 64: 2-6
  • 8 Bakker S, Kluytmans J, den Hollander JC, Lie ST. Subdural empyema caused by Escherichia coli: hematogenous dissemination to a preexisting chronic subdural hematoma. Clin Infect Dis 1995; 21 (02) 458-459
  • 9 Miedema CJ, Kimpen JL. Hematogenous dissemination of Escherichia coli to a preexistent subdural hematoma in a child. Clin Infect Dis 1996; 23 (03) 662
  • 10 Lucas JT, Elhamdani S, Jeong SW, Yu A. Mycotic aneurysm presenting as subdural empyema: illustrative Case. Journal of Neurosurgery: Case Lessons 2022 Jan 24;3(04):
  • 11 Kaminogo M, Kurihara M, Kawano T, Mori K, Yasuda M. [A case of infected subdural hematoma (subdural empyema) secondary to septicemia caused by agranulocytosis]. No Shinkei Geka 1984; 12 (3, Suppl): 353-357
  • 12 Hirano A, Takamura T, Murayama N, Ohyama K, Matsumura S, Niwa J. [Subdural abscess following chronic subdural hematoma]. No Shinkei Geka 1995; 23 (07) 643-646
  • 13 Nishi H, Shibagaki Y, Hatakeyama S. et al. Metastatic intracranial subdural empyema from renal cyst infection in autosomal dominant polycystic kidney disease. Nephrol Dial Transplant 2005; 20 (12) 2820-2823
  • 14 Yoon KS, Yee GT, Han SR, Lee CH. Escherichia coli subdural empyema following subdural hygroma in elderly patient. J Korean Neurosurg Soc 2010; 47 (06) 470-472
  • 15 Bachmeyer C, Logak M, Ammouri W, Blanc AS. Spontaneous Escherichia coli meningitis with subdural empyema in an adult. South Med J 2005; 98 (12) 1225-1226
  • 16 Yilmaz N, Kiymaz N, Yilmaz C. et al. Surgical treatment outcome of subdural empyema: a clinical study. Pediatr Neurosurg 2006; 42 (05) 293-298