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KMID : 0390220040150020277
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2004 Volume.15 No. 2 p.277 ~ p.281
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A Case of Acute Sphenoid Sinusitis with Epidural Abscess of Middle Cranial Fossa
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Lee Seung-Kyun
Jeon Eun-Ju
Park Yong-Soo
Kim Kyu-Beak
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Abstract
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Despite improvements in antibiotic therapies and surgical techniques, sinusitis still carries a risk of serious and potentially fatal complications. Intracranial complications of paranasal sinusitis constitute true surgical and medical emergencies. We present a case of sphenoid sinusitis complicated with middle cranial fossa epidural abscess. The patient made a satisfactory recovery with endoscopic sinus drainage and antibiotic therapy without neurosurgical procedure. The diagnosis of intracranial complications of sinusitis requires a high index of suspicion and is confirmed by imaging studies. Treatment of intracranial infection should include not only appropriate antibiotic therapy but also surgical drainage of locular infection.
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KEYWORD
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Sphenoid sinusitis, Epidural abscess
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