A Case of Subdural Empyema Caused by Sinusitis in a Child.
- Author:
Jung Hee BYUN
;
In Kyung HWANG
;
Eun Kyung PARK
;
Ju Wan KANG
;
Dong Soo KIM
;
Gwang Cheon JANG
- Publication Type:Case Report
- Keywords:
Sinusitis;
Subdural Empyema;
Brain Abscesses;
Central Nervous System
- MeSH:
Adolescent;
Anti-Bacterial Agents;
Brain Abscess;
Cavernous Sinus Thrombosis;
Central Nervous System;
Child*;
Diagnosis;
Empyema, Subdural*;
Fever;
Frontal Sinus;
Frontal Sinusitis;
Headache;
Humans;
Inpatients;
Male;
Maxillary Sinus;
Maxillary Sinusitis;
Meningitis;
Orbit;
Paralysis;
Sinusitis*
- From:Korean Journal of Pediatric Infectious Diseases
2014;21(1):59-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The current paper reports on a case of subdural empyema secondary to frontal sinusitis in an otherwise healthy child. Sinusitis is a common and benign condition in most pediatric cases. Because of the widespread use of antibiotics, intracranial extension of pediatric sinusitis is rarely seen today; however, complications (e.g., cavernous sinus thrombosis, orbital infection, meningitis, and subdural empyema) are potentially life threatening. A 15-year-old right-handed male presented with a 3-day history of fever, headache, and left-sided palsy. Computed tomography revealed right-sided subdural empyema with right frontal sinusitis and maxillary sinusitis. A postoperative inpatient neurological consultation was requested 2 months post-surgery due to motor function deficits. The results suggested that early and accurate diagnosis of subdural empyema leads to prompt treatment and a favorable outcome for the patient.
