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小儿急性鼻窦炎的神经和眼眶并发症:一例报告

Neurological and orbital complication of acute sinusitis in pediatric patient: A case report.

作者信息

Volpe Alessio, Altieri Roberto, Risi Chiara, Erra Maurizio, De Lauso Rosanna, Giusto Fabio, Siervo Angela, Cioffi Annamaria, Casella Vincenzo, Fenza Giacomo

机构信息

Department of Radiology, L. Curto Hospital, ASL Salerno, Via Luigi Curto, 84035, Polla, Salerno, Italy.

Multidisciplinary Department of Medical-Surgical and Dental Specialities, University of Campania, "Luigi Vanvitelli", Napoli, Italy.

出版信息

Radiol Case Rep. 2024 Nov 22;20(2):989-992. doi: 10.1016/j.radcr.2024.10.136. eCollection 2025 Feb.

Abstract

Sinusitis is a common condition that can lead to various neurological complications due to the spread of infection to the intracranial and orbital regions. Fortunately, the availability of antibiotics has significantly improved the prognosis of sinusitis-associated intracranial complications. As a result, the overall incidence of neurological complications arising from sinusitis remains low. We present a rare case of a 13-year-old male who developed epidural empyema and orbital cellulitis as a complication of acute sinusitis. The patient initially exhibited signs and symptoms of orbital cellulitis, including eyelid swelling, erythema, and pain. Subsequently, the patient's condition worsened, with the development of fever and an intensifying headache. Imaging revealed an epidural empyema, necessitating urgent medical intervention. This case highlights the importance of early recognition and prompt management of sinusitis-related intracranial and orbital complications to prevent potentially life-threatening outcomes.

摘要

鼻窦炎是一种常见病症,由于感染扩散至颅内和眼眶区域,可导致各种神经并发症。幸运的是,抗生素的使用显著改善了鼻窦炎相关颅内并发症的预后。因此,由鼻窦炎引起的神经并发症总体发病率仍然较低。我们报告一例罕见病例,一名13岁男性因急性鼻窦炎并发硬膜外脓肿和眼眶蜂窝织炎。患者最初表现出眼眶蜂窝织炎的体征和症状,包括眼睑肿胀、红斑和疼痛。随后,患者病情恶化,出现发热和头痛加剧。影像学检查显示硬膜外脓肿,需要紧急医疗干预。该病例强调了早期识别和及时处理鼻窦炎相关颅内和眼眶并发症以预防潜在危及生命后果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c606/11625232/bd0982097d3c/gr1.jpg

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