A Case of Simultaneous Orbital Cellulitis and Intracranial Complication.

Moon, Sang Won; Lee, Yoon Jung; Lee, Young Suk; Jung, Jin Hyuk

doi:2009.50.3.467

J Korean Ophthalmol Soc > Volume 50(3); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(3):467-470.
DOI: https://doi.org/10.3341/jkos.2009.50.3.467 Published online March 15, 2009.

A Case of Simultaneous Orbital Cellulitis and Intracranial Complication.

Sang Won Moon, Yoon Jung Lee, Young Suk Lee, Jin Hyuk Jung

¹Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. lyjot@hanyang.ac.kr
²Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea.

안와연조직염 환자에서 생긴 전두골경막외 농양 1예

문상원¹ㆍ이윤정¹ㆍ이영석²ㆍ정진혁²

Department of Ophthalmology, Hanyang University College of Medicine¹, Seoul, Korea / Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine², Seoul, Korea

Correspondence: Acute sinusitis, Intracranial complication, Orbita

Abstract

PURPOSE
To report a case of simultaneous orbital cellulitis and intracranial complications of acute sinusitis in a young patient. CASE SUMMARY: The 11-year-old male presented with a one-day history of left periorbital erythematous swelling, fever and headache. He was diagnosed with acute sinusitis at the department of otorhinolaryngology, and endoscopic sinus drainage of pus was performed. However, the patient's symptoms did not improve. The next day, a subdural abscess was found on brain computed tomography. He was treated by external drainage of the periosteal abscess via a subbrow incision and systemic antibiotics, as well as anticonvulsant medication. CONCLUSIONS: Twenty days after external drainage and beginning systemic antibiotics and anticonvulsant treatment, he was discharged with improved orbital cellulitis symptoms and a resolved subdural abscess.

Key Words: Acute sinusitis;Intracranial complication;Orbital cellulitis