PMC8247673_01
Initial presentation at the emergency department.
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F1
The woman, who was a pillion rider, sustained severe head injuries with massive brain laceration and gross extrusion of brain tissues from the forehead [Figure 1].
Discharging abscess at incision site on the forehead.
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F2
On inspection, a punched-out discharging wound of about 1 cm diameter was seen on the forehead [Figure 2].
Imaging findings. Axial MRI (left) showing heterogeneous ring-enhancing lesion in the right frontobasal extradural space; sagittal MRI (right) showing localization of abscess beneath dura in the frontal region with cutaneous extension.
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F3
Contrast-enhanced MRI showed mixed intensity ring-enhancing lesions measuring 1.2 x 1.4 cm and 1.3 x 1.1 cm in frontobasal extradural space communicating with the skin of forehead suggestive of abscess formation [Figure 3].
Intraoperative image showing synthetic dura (black arrow) and abscess collected underneath it.
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F4
Intraoperatively, abscess was identified between G-Patch (Surgiwear ) and duramater [Figure 4].
Follow-up image after 6 months showing healed scar at the abscess site.
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F5
Follow-up after 6 months showed healed scar at the abscess site [Figure 5].