Hartstein M E, Steinvurzel M D, Cohen C P
Saint Louis University Eye Institute, Department of Ophthalmology, Saint Louis University School of Medicine, Missouri 63104, USA.
Ophthalmic Plast Reconstr Surg. 2001 Nov;17(6):398-403. doi: 10.1097/00002341-200111000-00003.
To describe the potential complication of intracranial abscess in the setting of orbital abscess.
We retrospectively reviewed case reports and the literature. Three patients were found to have pansinusitis progressing to subperiosteal abscess of the orbit and subsequent intracranial abscess.
Three patients, ages 14, 26, and 57 years, with concurrent pansinusitis, subperiosteal abscess of the orbit, and intracranial abscess were treated with intravenous antibiotics and surgical drainage of the orbital abscess and sinuses. Two of the three patients required drainage of the intracranial abscess.
Although rare, intracranial abscess is a life-threatening complication of orbital abscess. It requires aggressive intervention by a multidisciplinary team.
描述眼眶脓肿情况下颅内脓肿的潜在并发症。
我们回顾性地查阅了病例报告和文献。发现3例患者患有全鼻窦炎，进展为眶骨膜下脓肿，随后发展为颅内脓肿。
3例年龄分别为14岁、26岁和57岁的患者，同时患有全鼻窦炎、眶骨膜下脓肿和颅内脓肿，接受了静脉抗生素治疗以及眼眶脓肿和鼻窦的手术引流。3例患者中有2例需要进行颅内脓肿引流。
颅内脓肿虽然罕见，但却是眼眶脓肿的一种危及生命的并发症。它需要多学科团队进行积极干预。
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