PMC7398933_01
PMC7398933_02
MRI of the brain with and without contrast (A, B); Maxillofacial CT without contrast (C).. A: Coronal view demonstrating bilateral subdural rim-enhancing fluid collection (arrows) consistent with a subdural empyema.. B: Sagittal view demonstrating the subdural rim-enhancing fluid collection (arrow) and the encephalocele (double arrow), an outpouching of brain tissue through a bony defect into the frontal sinus.. C: Coronal view of a maxillofacial CT outlining the bony defect at the base of the skull/roof of the frontal sinus (double arrow), where there is a protrusion of brain tissue through the defect, consistent with an encephalocele.
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PMC7398933_02_gr1.jpg
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She returned for an elective left frontal craniotomy and definitive repair of her encephalocele once her infection had resolved (Fig. 1C).