[An endocranial complication of sinogenic origin without initial classical neurological symptoms].
A 14 year old male developed a subdural empyema with a leptomeningeal infection of sinogenic origin. Initially, there were none of the expected neurological symptoms such as worsening headaches, vomiting, alteration in the level of consciousness and neck stiffness. Later, focal neurological deficits and seizures occurred. An endonasal sinus drainage was performed simultaneously with a neurosurgical exploration. We started an antibiotic therapy. All neurological deficits disappeared rapidly.
Klinik für Ohren-, Nasen-, Hals- und Gesichtschirurgie im Universitätsspital Zürich.
S
S
Schumacher
D
D
Holzmann
B
B
Schuknecht
S
S
Schmid
D000293:Adolescent; D004322:Drainage; D013354:Empyema, Subdural / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009460:Neurologic Examination; D010403:Penicillin Resistance; D011183:Postoperative Complications / Q000209:etiology; D012852:Sinusitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013203:Staphylococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed; D014207:Trephining