case_images: PMC11798621_01
case_images: Gross appearance of the patients' wound on initial presentation
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case_images: FIG1
case_images: The head wound measured 4 x 3 x 4 cm on the apex of the scalp (Figure 1), was not actively bleeding, and had chronic features with granulation tissue and some purulent discharge. 
case_images: Preoperative (a) axial, (b) coronal, and (c) sagittal plane CT showing open brain injury with surrounding pneumocephalus and foci of infection suggesting cerebral abscess
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case_images: FIG2
case_images: CT scans revealed bilateral parafalcine subdural hematomas (SDH), intraparenchymal mixed hemorrhages (IPH), pneumocephalus, and polymicrobial skull osteomyelitis with brain abscess causing cerebral edema (Figures 2a-2c).
case_images: Postoperative day 1 MRI in (a) axial and (b) coronal planes showing slight pneumocephalus and cerebral edema without midline shift
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case_images: FIG3
case_images: Early postoperative day 1 MRI (Figures 3a-3b) showed changes including pneumocephalus and edema.
case_images: Postoperative day 10 MRI in (a) axial and (b) coronal planes showing bifrontal parafalcine abscess collection with surrounding edema and hemorrhage
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case_images: FIG4
case_images: Her second MRI on postoperative day 10 (Figures 4a-4b) showed a bifrontal parafalcine abscess with edema and hemorrhage.
case_images: Postoperative MRI at two months in the (a) axial and (b) coronal planes showing closed calvarium with near resolution of cerebral abscess
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case_images: FIG5
case_images: After the completion of hyperbaric therapy and broad-spectrum antibiotic regimens, the follow-up brain MRI (Figures 5a-5b) two months after the second washout showed a near-complete resolution of the brain abscess.
case_images: Postoperative MRI at six months in the (a) axial and (b) coronal planes six months posthospital discharge showing resolution of abscess and healing of the closed calvarium
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case_images: FIG6
case_images: Resolution of abscess and evidence of healing in the closed calvarium can be seen in the postoperative MRI findings obtained six months after hospital discharge (Figures 6a-6b).