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The British Journal of Radiology, Vol 73, Issue 876 1329-1336, Copyright © 2000 by British Institute of Radiology

ARTICLES

Intracranial dural empyema

PM Rich, NP Deasy and JM Jarosz
Department of Neuroradiology, King's Healthcare NHS Trust, King's College Hospital, Denmark Hill, London, UK.

Intracranial dural empyema is a neurosurgical emergency with potentially devastating complications. The prognosis is adversely affected by delay in diagnosis. Modern imaging techniques, especially contrast enhanced CT and MRI, have improved the speed and accuracy of radiological diagnosis of this condition, with an associated reduction in mortality. Despite this, there may still be a delay in diagnosis, partly owing to the subtlety of early radiological signs, especially on unenhanced CT. We present cases that illustrate some of the radiological manifestations, complications and potential pitfalls in diagnosis.




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