Niehaus Matthew T, Krape Kyli N, Quinn Shawn M, Kane Bryan G
The Department of Emergency Medicine, Lehigh Valley Health Network/USF MCOM, Cedar Crest Boulevard and I-78, Allentown, PA, 18103, USA.
Radiol Case Rep. 2018 Mar 7;13(2):456-459. doi: 10.1016/j.radcr.2018.02.003. eCollection 2018 Apr.
A 49-year-old male was brought to the Emergency Department after being found unresponsive. The patient had multiple seizures and was intubated in the prehospital setting. A computed tomography scan showed bilateral paranasal sinus disease, and magnetic resonance imaging showed a right frontal abscess and subdural empyema. Neurosurgery took the patient to the operating room, performed a craniotomy, and drained a large amount of purulent fluid. He was subsequently discharged for acute rehabilitation. Clinicians should consider complicated frontal sinusitis, especially in the undifferentiated patient presenting with neurologic deficits and signs or symptoms of sinus disease.
一名49岁男性在被发现无反应后被送往急诊科。该患者多次癫痫发作，在院前环境中进行了插管。计算机断层扫描显示双侧鼻窦疾病，磁共振成像显示右额叶脓肿和硬膜下积脓。神经外科将患者送入手术室，进行了开颅手术，并引流了大量脓性液体。随后他出院接受急性康复治疗。临床医生应考虑复杂性鼻窦炎，尤其是在出现神经功能缺损以及鼻窦疾病体征或症状的未分化患者中。
