An ‘S-shaped’ Sign in Cerebral Angiography: Subdural Empyema in a Young Man: Case Report

Authors

  • Erdoğan Ayan Goztepe Education And Research Hospital, Department Of Neurosurgery, Istanbul.
  • Fatih Han Bölükbaşı Goztepe Education And Research Hospital, Department Of Neurosurgery, Istanbul.
  • Gökalp Silav Goztepe Education And Research Hospital, Department Of Neurosurgery, Istanbul.
  • İlhan Elmacı Goztepe Education And Research Hospital, Department Of Neurosurgery, Istanbul.

Keywords:

Cerebral angiography, falx syndrome, interhemispheric subdural empyema

Abstract

Interhemispheric subdural empyemas are uncommon in healthy young people. Since they may occur with nonspecific signs and symptoms in the early period, they should be considered in the differential diagnosis of other nervous system infections, subdural hematoma, and subarachnoid haemorrhage. Generally, they develop secondary to paranasal sinus infections. Clinical profile, which varies depending on the localization, is named as “falx syndrome”. Typical appearance of such lesions on cerebral angiography is called an ‘S-shaped deformity’. They show similar clinical and radiological characteristics with the interhemispheric subdural hematomas. The treatment is surgical drainage and high-dose antibiotherapy for 4-6 weeks.

Our patient was a case of interhemispheric subdural empyema which developed after frontal sinusitis. While clinical manifestation was ‘falx syndrome’, angiography revealed an “S-shaped” deformity.

Downloads

Download data is not yet available.

Downloads

Published

2009-12-30

How to Cite

1.
Ayan E, Bölükbaşı FH, Silav G, Elmacı İlhan. An ‘S-shaped’ Sign in Cerebral Angiography: Subdural Empyema in a Young Man: Case Report. J Nervous Sys Surgery [Internet]. 2009 Dec. 30 [cited 2024 Feb. 24];2(4):209-12. Available from: https://sscdergisi.org/index.php/sscd/article/view/175

Issue

Section

Case Report