Concomitant orbital and intracranial abscess A rare complication of sinusitis

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Andreea Nae
Stephen Farrell
Kieron Sweeney
Siobhan Hoare
Michael Colreavy

Abstract

Background:  Intracranial and orbital abscesses in combination together are rare complications of sinusitis. They can be life-threatening and can result in multiple sequelae.


Case presentation: A 9-year-old female presented with left periorbital swelling, gaze restriction and headache. Following scans, she underwent emergency endoscopic sinus surgery, evacuation of the intraorbital empyema and stereotactic mini-craniectomy with the evacuation of the extradural empyema as a joint case. The patient recovered well and was discharged to complete intravenous antibiotics for 6 weeks.


Conclusion: In the pediatric population intracranial complications of acute sinusitis can have more devastating consequences. Therefore prompt recognition and management are essential within a multidisciplinary team setting.


We also highlight the rarity of concomitant multi-site abscess formation and the need to be vigilant for same.

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How to Cite
Nae , A., Farrell , S., Sweeney , K., Hoare , S., & Colreavy , M. (2020). Concomitant orbital and intracranial abscess: A rare complication of sinusitis. Romanian Neurosurgery, 34(2), 189-194. https://doi.org/10.33962/roneuro-2020-030
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Author Biographies

Andreea Nae

MD MRCSI(ENT). ORL Department, Temple Street Hospital, Dublin, Ireland

Stephen Farrell

LRCP & SI MB BCh NUI. Ophthalmology Department, Temple Street Hospital, Dublin, Ireland

Kieron Sweeney

MB BCh NUI BAO MD FRCSI (SN). Neurosurgery Department, Temple Street Hospital, Dublin, Ireland

Siobhan Hoare

LRCP & SI MB BCh NUI. Radiology Department, Temple Street Hospital, Dublin, Ireland

Michael Colreavy

MB BCh NUI FRCSI. ORL Department, Temple Street Hospital, Dublin, Ireland