SUBDURAL EMPYEMA SECONDARY TO PURULENT FRONTAL SINUSITIS: A CLINICOPATHOLOGIC STUDY OF FORTY-TWO CASES VERIFIED AT AUTOPSY

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Abstract
The presence of purulent exudate in the cranial subdural space, a condition which has been designated by a variety of names, has been recognized as a pathologic entity for a little more than half a century. The term "subdural abscess" was used to introduce and describe a relatively rare and for the most part clinically unimportant complication of purulent otitis media. For some unknown reason, relatively little attention has been paid to the more common, more easily recognized and therapeutically much more important subdural empyema consequent to purulent frontal sinusitis. As close a student of the problem as Gerber was content to dismiss the subject in 1909 with less than a page of his monograph concerned with complications of frontal sinus infections. But it seems as though even this suggestion that the purulent subdural accumulation might be a common complication of frontal sinus disease (found six times in Gerber's series

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