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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2014, Number 3

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Acta Med Cent 2014; 8 (3)

Subdural empyema presenting with convulsive crisis, focal motor weakness and confusion

García ML, Pérez MLM

Language: Spanish
References: 11
Page: 96-99
PDF size: 107.16 Kb.


ABSTRACT

While sinusitis is a frequent affection in the sinuses, intracranial suppurative complication is rare and this makes difficult the diagnosis and treatment. The morbidity and mortality of intracranial complications of sinusitis have decreased significantly since the advent of antibiotics, but diseases such as subdural empyema and intracranial abscess still occur and require a prompt diagnosis and treatment and often need surgical drainage to prevent death. A 48 year old patient is presented with a subdural empyema debuting with convulsive crisis, mental confusion and focal motor deficit associated with bilateral frontal sinusitis.


REFERENCES

  1. Waseem M, Khan S, Bomann S. Subdural Empyema Complicating Sinusitis. J Emerg Med. 2008;35(3):277-81.

  2. Osborn MK, Steinberg JP. Subdural Empyema and Other Suppurative Complications of Paranasal Sinuses. Lancet Infect Dis. 2007 Jan;7(1):62-7.

  3. Miloundja J, Bamba JS, Mouba JF, Ella Ondo T, Mwanyombet L, Mandji Lawson JM, et al. Complications cranioencéphaliques des sinusites bactériennes chez l'enfant et l'adolescent: étude de huit cas vus à Libreville (Gabon). Sante. 2011;21(4):215-20.

  4. Hàhnel S. Inflamatory Diseases of the Brain. Berlin Heidelberg: Springer-Verlag; 2009.

  5. Ropper A. Infecciones víricas del sistema nervioso. En: Adams & Victor’s Principles of Neurology. 9th ed. New York: McGraw-Hill Professional Publishing; 2009. p. 716.

  6. Maya Entienza C. Síndrome neurológico infeccioso. En: Urgencias Neurológicas. La Habana: Ciencias Médicas; 2007. p. 327-51.

  7. Biller J. Practical Neurology. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2009.

  8. Kombogiorgas D, Seth R, Athwal R. Suppurative intracranial complications of sinusitis in adolescence. Single institute experience and review of literature. Brit J Neurosurg. 2007;21(6):603-9.

  9. Bruner DI, Littlejohn L, Pritchard A. Subdural empyema presenting with seizure, confusion, and focal weakness. West J Emerg Med. 2012 Dec;13(6):509–11.

  10. Beaumont Caminos C. Empiema Subdural de Evolución Fulminante. Emergencias. 2006;18:316-19.

  11. Continuum: Lifelon Learning in Neurology. Infect Dis. 2012 Dec;18(6):48-58.




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