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


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