Oyster Calcification of Infected Bone Flap: A Rare Complication

An extremely rare case of chronic epidural empyema after cranioplasty is presented. It derives its extreme rareness from its association with calcification. This patient when presented to our department had a complaint of swelling with on and off discharging sinus for 2 months adjacent to old incision scar mark. The patient had a history of decompressive craniectomy and evacuation of acute subdural hematoma, in some other institution, 8 years back. Following that, the patient underwent cranioplasty with the exteriorized and preserved bone flap. In the meantime, he was asymptomatic. It is a unique interesting case of chronic epidural empyema with calcified walls after 8 years of long duration following cranioplasty.