Harran University Faculty of Medicine, Department of Pediatric Neurology, Sanliurfa, Turkey.
Am J Emerg Med. 2012 Oct;30(8):1657.e1-4. doi: 10.1016/j.ajem.2011.08.003. Epub 2011 Oct 24.
Intracranial complications of pediatric sinusitis are rare but potentially life threatening. These complications include cavernous sinus thrombosis, orbital infection, meningitis, and subdural empyema. Children with these complications may experience significant morbidity from their infection. In such cases, delay in diagnosis and treatment may lead to severe brain damage or death. Emergency physicians, pediatricians, and otolaryngologists should maintain a high index of suspicion for this complication of disease when treating patients with sinusitis in the emergency department or outpatient clinic. Early and accurate diagnosis of subdural empyema will lead to prompt treatment and a favorable outcome for the patient. We report a case of subdural empyema secondary to frontal sinusitis in an otherwise healthy immunocompetent adolescent boy.
儿童鼻窦炎的颅内并发症较为罕见，但可能危及生命。这些并发症包括海绵窦血栓形成、眶内感染、脑膜炎和硬膜下脓肿。患有这些并发症的儿童可能因感染而遭受严重的发病率。在这种情况下，诊断和治疗的延迟可能导致严重的脑损伤或死亡。在急诊科或门诊治疗鼻窦炎患者时，急诊医师、儿科医生和耳鼻喉科医生应高度怀疑这种疾病的并发症。早期和准确诊断硬膜下脓肿将导致及时治疗和患者的良好预后。我们报告了一例健康免疫功能正常的青少年男孩因额窦炎引起的硬膜下脓肿。
