Eleven cases of subdural empyema in infants have been reviewed. The common presentation is one of increasing size of head, fever and fits. Papilloedema and localizing signs are rare and late. Asymmetrical suture diastasis is an important sign of unilateral empyema. An immediate subdural tap provides cerebral decompression and pus for culture and sensitivity. A pyogram done at this stage will delineate the extent of empyema. Multiple subdural aspirations, with systemic and subdural antibiotics constitute the line of treatment. Burrhole drainage is called for if aspiration does not improve the condition of the patient. An important cause of poor result (45% mortality) is delayed institution of therapy.