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[Subdural empyema induced by frontal sinusitis]
M A Melchor Díaz1, A Galván Parrado, F Rodríguez de la Fuente
1Servicio de ORL, Hospital 12 de Octubre, Madrid.
Abstract:
Nowadays the complications arising from sinusitis are rare. However its seriousness can even cause death. Intracranial complications are much more uncommon than the orbital ones. However, slight symptoms can appear, which may disjunct the correlation between clinical-radiology and the severity of the infection. The diagnosis is fundamentally based on the TAC, and early treatment with intravenous anti-biotherapy should be implemented, being followed by drainage surgery of the sinus and empyema. We have presented a case which evolved favourably and revised all the literature pertaining to it.
Insights
Intracranial complications from sinusitis are rare but serious, potentially leading to death. Early diagnosis via CT scans and prompt intravenous antibiotic treatment followed by surgery are crucial for favorable outcomes.
Area of Science:
- Otolaryngology
- Neurosurgery
- Infectious Diseases
Background:
- Sinusitis complications, though rare, can be life-threatening.
- Intracranial complications are less common than orbital ones.
- Clinical presentation may not correlate with infection severity.
Observation:
- A case of sinusitis with intracranial complications is presented.
- The patient experienced subtle symptoms.
- Diagnosis was confirmed using computed tomography (CT) scans.
Findings:
- Early diagnosis and treatment are vital.
- Intravenous antibiotic therapy is the primary treatment.
- Surgical drainage of the sinus and empyema is often necessary.
Implications:
- This case highlights the importance of prompt management of sinusitis complications.
- Effective treatment strategies can lead to favorable outcomes.
- Further research into early diagnostic markers is warranted.