Available online 20 March 2004.
- 1. 1. A case of occipital metastatic osteomyelitis of the skull with an epidural abscess associated with a right sided chronic subdural hematoma is reported.
- 2. 2. Among other symptoms the patient complained of porropsia and hyperacusis. A search of the literature reveals only one other case presenting this combination of symptoms.
- 3. 3. Surgical extirpation of the infected bone and the discovery and drainage of the subdural hematoma eleven days later resulted in complete relief of the patient's symptoms.
- When last seen, sixteen months after operation, the patient was free from symptoms, neurologic examination revealed no abnormalities, and the osteomyelitis of the skull was completely healed.
1 From the Neurological and Neurosurgical Services, Western Pennsylvania Hospital, Pittsburgh.