Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sinogenic subdural empyema and Streptococcus anginosus.

M E Hutchin1, C G Shores, M S Bauer

  • 1Department of Surgery, University of North Carolina at Chapel Hill, 27599-7295, USA.

Archives of Otolaryngology--Head & Neck Surgery
|November 11, 1999
PubMed
Summary

Subdural empyema (SDE), often from sinusitis, is deadly without prompt neurosurgical care. Suspect SDE in sinusitis patients with mental changes, even with subtle CT scans, favoring MRI for diagnosis.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Innovations in risk-stratification and treatment of Veterans with oropharynx cancer; roadmap of the 2019 Field Based Meeting.

Oral oncology·2019
Same author

Loss of LZAP inactivates p53 and regulates sensitivity of cells to DNA damage in a p53-dependent manner.

Oncogenesis·2017
Same author

Review: Head and neck squamous cell carcinoma in sub-Saharan Africa.

Malawi medical journal : the journal of Medical Association of Malawi·2015
Same author

Environmental risk factors for oesophageal cancer in Malawi: A case-control study.

Malawi medical journal : the journal of Medical Association of Malawi·2015
Same author

Cellular oxidative stress response mediates radiosensitivity in Fus1-deficient mice.

Cell death & disease·2015
Same author

PPM1A is a RelA phosphatase with tumor suppressor-like activity.

Oncogene·2013

Area of Science:

  • Neurology
  • Neurosurgery
  • Infectious Disease

Background:

  • Subdural empyema (SDE) is a severe intracranial infection frequently originating from sinusitis.
  • High mortality rates are associated with SDE if not diagnosed and treated promptly with neurosurgical intervention.

Observation:

  • Mental status changes in patients with sinusitis warrant suspicion for SDE, even with non-definitive computed tomography (CT) findings.
  • Contrasted magnetic resonance imaging (MRI) offers superior diagnostic accuracy for SDE compared to CT.
  • The pathogen Streptococcus anginosus is notably linked to sinusitis and serious intracranial complications.

Findings:

  • Early clinical suspicion is crucial for SDE diagnosis in sinusitis patients presenting with altered mental status.
  • Advanced imaging, particularly contrasted MRI, is essential for definitive SDE diagnosis.

Related Experiment Videos

  • S. anginosus-associated sinusitis requires recognition due to its potential for severe neurological sequelae.

    • Implications:

    • Prompt recognition and aggressive management, including craniotomy and sinus drainage, are vital for sinogenic SDE.
    • Otolaryngologists must be aware of the risks associated with S. anginosus sinusitis and its intracranial complications.
    • Timely intervention can significantly improve outcomes for patients with rapidly progressing sinogenic SDE.