鼻性頭蓋内膿瘍例 [in Japanese] A Case of Rhinogenic Intracranial Abscess [in Japanese]
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We report a rare case of intracranial complication originating from the frontal sinusitis. The patient was a 32 year-old-male who initially presented with a high fever and anumb feeling in his head. A sudden onset of right upper limb dyskinesia appeared several days after the initial symptoms. Magnetic resonance imaging (MRI) was useful to reveal an epidural abscess in the frontal region of the head and a subdural abscess near the falx cerebri. These Lesions ware considered to arise from the direct extension of the frontal sinusitis via a posterior wall defect of the frontal sinus, and phlebitis of the diploic vein around the frontal sinus. The intracranial abscess and frontal sinusitis ware eliminated using Neurosurgical and Otolaryngological techniques.<br>Even with the development of antibiotics, this condition can still be fatal; thus, we suggest that it is important to increase physician's awareness of this condition.
- Practica Oto-Rhino-Laryngologica
Practica Oto-Rhino-Laryngologica 94(8), 729-735, 2001-08-01
The Society of Practical Otolaryngology