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Updated: Jul 8, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Subdural empyema complicating sinusitis.

Muhammad Waseem1, Saqiba Khan, Scott Bomann

  • 1Department of Emergency Medicine, Lincoln Medical and Mental Health Center, Bronx, New York 10451, USA.

The Journal of Emergency Medicine
|December 25, 2007
PubMed
Summary
This summary is machine-generated.

Acute sinusitis in children can lead to rare but severe intracranial complications. This case highlights subdural empyema as a serious risk, emphasizing prompt diagnosis and treatment for pediatric sinusitis.

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Area of Science:

  • Pediatric infectious diseases
  • Neurology
  • Otolaryngology

Background:

  • Acute sinusitis is a frequent childhood illness, primarily affecting ethmoid and maxillary sinuses.
  • Diagnosis typically relies on prolonged upper respiratory infection symptoms exceeding 7 days with significant nasal involvement.
  • Standard treatment involves a 10-14 day course of antibiotics.

Observation:

  • Intracranial complications stemming from pediatric sinusitis are uncommon but pose life-threatening risks.
  • Potential complications include cavernous sinus thrombosis, orbital and intracranial spread, and meningitis.
  • These severe conditions can result in substantial morbidity for affected children.

Findings:

  • This report details a rare case of sinusitis leading to subdural empyema in an adolescent.
  • The patient was otherwise healthy and immunocompetent, underscoring that such complications can occur in seemingly low-risk individuals.
  • The subdural empyema was a direct consequence of the sinusitis infection.

Implications:

  • Delayed diagnosis and treatment of pediatric sinusitis complications can lead to irreversible brain damage or death.
  • This case underscores the critical need for vigilance in diagnosing and managing sinusitis in children, particularly when neurological symptoms arise.
  • Early intervention is paramount to prevent severe outcomes and long-term disability in pediatric sinusitis cases.