A Case of Sinusitis-Induced Intracranial Complication.
- Author:
Yong Bae LEE
1
;
Sung Min JIN
;
Jun Hee LEE
;
Jong Hyouk LEE
Author Information
1. Department of Otorhinolaryngology, Samsung Medical Center, Kangbuk Samsung Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Acute sinusitis;
Subdural abscess
- MeSH:
Abscess;
Anti-Bacterial Agents;
Brain Abscess;
Diagnosis;
Drainage;
Empyema, Subdural;
Humans;
Meningitis;
Mucocele;
Osteomyelitis;
Physicians, Primary Care;
Polyps;
Sinusitis
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1997;40(2):304-308
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sinusitis is a common problem that is routinely diagnosed and treated by most primary care physicians. Although most cases usually respond to appropriate therapy, some occasionally progress to the development of intracranial complications, including meningitis, osteomyelitis, epidural and subdural empyema, intracranial mucocele or polyps, and frank brain abscess. It is important to develop a rational approach to the diagnosis and treatment of these conditions. Intracranial complications are pathologically caused by direct extension of the disease through the bony defect or hematogenous spread. Radiologic evaluation must include computerized tomography for accurate diagnosis and surgical planning. Therapy includes surgical drainage and high doses of intravenous antibiotics. Recently we have experienced one subdural abscess secondary to acute sinusitis.
