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http://dx.doi.org/10.14776/kjpid.2014.21.1.59

A Case of Subdural Empyema Caused by Sinusitis in a Child  

Byun, Jung Hee (Department of Pediatrics, Yonsei University College of Medicine)
Hwang, In Kyung (Department of Pediatrics, Yonsei University College of Medicine)
Park, Eun Kyung (Department of Neurosurgery, Yonsei University College of Medicine)
Kang, Ju Wan (Department of Otorhinolaryngology, Yonsei University College of Medicine)
Kim, Dong Soo (Department of Pediatrics, Yonsei University College of Medicine)
Jang, Gwang Cheon (Department of Pediatrics, National Health Insurance Service Ilsan Hospital)
Publication Information
Pediatric Infection and Vaccine / v.21, no.1, 2014 , pp. 59-64 More about this Journal
Abstract
The current paper reports on a case of subdural empyema secondary to frontal sinusitis in an otherwise healthy child. Sinusitis is a common and benign condition in most pediatric cases. Because of the widespread use of antibiotics, intracranial extension of pediatric sinusitis is rarely seen today; however, complications (e.g., cavernous sinus thrombosis, orbital infection, meningitis, and subdural empyema) are potentially life threatening. A 15-year-old right-handed male presented with a 3-day history of fever, headache, and left-sided palsy. Computed tomography revealed right-sided subdural empyema with right frontal sinusitis and maxillary sinusitis. A postoperative inpatient neurological consultation was requested 2 months post-surgery due to motor function deficits. The results suggested that early and accurate diagnosis of subdural empyema leads to prompt treatment and a favorable outcome for the patient.
Keywords
Sinusitis; Subdural Empyema; Brain Abscesses; Central Nervous System;
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