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[Subdural empyema secondary to sinusitis. A pediatric case report]
A Herrero Varas1, I San Martín García, L Moreno Galarraga
1Servicio de Pediatría, Complejo Hospitalario de Navarra, Pamplona, Spain. aherrerv@navarra.es
Anales Del Sistema Sanitario De Navarra
|January 12, 2012
Summary
A pediatric case of sinusitis complicated by subdural empyema is presented. Prompt diagnosis and treatment led to complete resolution of this serious neurological complication.
Area of Science:
- Neurology
- Pediatrics
- Infectious Diseases
Background:
- Sinusitis can lead to serious intracranial complications in children.
- Early recognition of neurological signs is crucial for timely intervention.
Observation:
- A 9-year-old male presented with ocular proptosis and migraine secondary to sinusitis.
- Cranial computed tomography (CAT) revealed a right frontal subdural empyema.
Findings:
- Intravenous antibiotics (cefotaxime, vancomicin, metronidazole) were initiated.
- Surgical drainage of the primary sinusitis focus was performed, with conservative neurosurgical management.
- The patient showed progressive symptom resolution and complete radiological recovery via serial magnetic resonance imaging.
Implications:
- This case highlights the importance of considering intracranial complications in pediatric sinusitis.
- Multidisciplinary management involving neurosurgery, maxillofacial surgery, and ORL is effective.
- Aggressive antibiotic therapy combined with targeted drainage can achieve favorable outcomes.
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