title: Sphenoethmoid sinusitis in a child resulting in a disastrous intracranial sequela.
abstract: Localized sphenoethmoid sinusitis in children is a rare occurrence. It is usually overlooked because of the misconception that the sinuses are not developed. We describe a case of localized acute sphenoid and right posterior ethmoid sinusitis that presented as right frontobasal subdural empyema and multiple deep cerebral abscesses. Morbidity from subdural empyema in children is high. Early diagnosis and treatment based on recognition that the etiology might involve the paranasal sinuses affects the overall prognosis.
authors.affiliation: Department of Otorhinolaryngology, Sarawak General Hospital, 93586 Kuching, Sarawak, Malaysia. sowayejane@gmail.com
authors.forename: Aye Jane
authors.initials: AJ
authors.lastname: Sow
authors.forename: Jeevanan
authors.initials: J
authors.lastname: Jahendran
authors.forename: Charng Jeng
authors.initials: CJ
authors.lastname: Toh
authors.forename: Thean Yean
authors.initials: TY
authors.lastname: Kew
mesh_terms: D001922:Brain Abscess / Q000209:etiology*; D002648:Child; D013354:Empyema, Subdural / Q000209:etiology*; D015521:Ethmoid Sinusitis / Q000150:complications*; D005260:Female; D006801:Humans; D015524:Sphenoid Sinusitis / Q000150:complications*; D013290:Streptococcal Infections / Q000150:complications*; D034364:Streptococcus milleri Group