Intracranial subdural empyema along with brain abscess are serious debilitating conditions with increased risk in patients undergone cranial surgery and to those with immunosuppression, extremes of age, malnourishment. Here we present a case with the subtlest neurological deficits and its progression with time. We shall review our goals and attitude in treating this patient.

Keywords: Intracranial subdural empyema; Brain abscess; Chronic subdural hematoma.