An unusual presentation of neurotuberculosis: subdural empyema - Case report

Cayli S., Onal C., Kocak A., Onmus S., Tekiner A.

JOURNAL OF NEUROSURGERY, cilt.94, ss.986-989, 2001 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 94 Konu: 6
  • Basım Tarihi: 2001
  • Doi Numarası: 10.3171/jns.2001.94.6.0988
  • Sayfa Sayıları: ss.986-989


Tuberculosis continues to be a major public health concern, especially in developing countries. Many types of neurotuberculosis have been described, but there is only one previously reported case of subdural empyema caused by tuberculous bacilli. A 1-year-old boy who had been treated for pulmonary tuberculosis was referred to the authors' institution with a diagnosis of right frontoparietal extraaxial abscess formation. Computerized tomography and magnetic resonance imaging revealed an extraaxial abscess with no evidence of calvarial infection. A craniotomy was pet-formed to drain the pus, which was located subdurally. A polymerase chain reaction test yielded positive results, and histopathological examination revealed caseation. Antituberculous treatment was started after a diagnosis of subdural empyema with related neurotuberculosis had been made. At the end of a 12-month course of medical therapy, the patient was well with no evidence of tuberculosis.