TUBERCULOUS SUBDURAL EMPYEMA - A RARE CASE REPORT

Tuberculous subdural empyema are extremely rare manifestations of central nervous system tuberculosis. Here is a rare case report of TB subdural empyema with osteomyelitis presenting with seizures, hemiparesis. A right frontotemporoparietal craniotomy was performed and the subdural empyema was evacuated. The Ziehl Nielsen staining of the aspirated pus yielded acid fast bacilli. Prompt administration of antituberculous treatment resulted in complete recovery of the patient This case is being reported because of its rarity of associated osteomyelitis of bone and to stress the importance of routine staining for AFB in cases of sub dural empyema.