Conclusion
Patients with a positive history of chronic otitis media or any otologic
complaints such as otorrhea who present with fever, headache, vomiting
and altered level of consciousness should trigger a high index of
suspicion for subdural empyema. MRI is the gold standard in confirming
the diagnosis. Early diagnosis and timely surgical intervention, and
appropriate antibiotic therapy are of utmost significance in the
management of subdural empyema following chronic otitis media.