Case report: evaluation of intracranial compliance in a child with subdural empyema

Case presentation: A 12-year-old female patient presents a 5-day history of fever and severe frontal occipital headache associated with vomiting, nocturnal awakenings, vertigo, phonophobia. She evolved dysarthria, decreased level consciousness, left hemiparesis followed by systemic arterial hypertension, bradycardia 8 episodes focal seizures. On neurological examination, she was alert, lucid, oriented, without points. An ophthalmoscopic examination revealed the, had papilledema in both eyes. Cranial resonance (MR) showed suggestive signs acute inflammatory maxillary sinus disease related to subdural empyema intracranial hypertension (IH). The assessment compliance (IC) non-invasive device, Brain4care, performed the lying sitting position, mean p2/p1 ratio 1.43 1.39, respectively. After diagnosis, submitted drainage antibiotic therapy. 13th postoperative day, an improvement clinical condition, new IC monitoring made down 1.01 position 1.07.