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KMID : 0605820140210010059
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Korean Journal of Pediatric Infectious Diseases
2014 Volume.21 No. 1 p.59 ~ p.64
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A Case of Subdural Empyema Caused by Sinusitis in a Child
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Byun Jung-Hee
Hwnag In-Kyung
Park Eun-Kyung
Kang Ju-Wan
Kim Dong-Soo
Jang Gwang-Cheon
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Abstract
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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.
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KEYWORD
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Sinusitis, Subdural Empyema, Brain Abscesses, Central Nervous System
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