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.