To the Editor:With the advent of antibiotics application,intracranial complications of paranasal sinusitis,including meningitis, intracranial abscess,subdural empyema (SDE),epidural abscess, cavernous sinus thrombosis...To the Editor:With the advent of antibiotics application,intracranial complications of paranasal sinusitis,including meningitis, intracranial abscess,subdural empyema (SDE),epidural abscess, cavernous sinus thrombosis,and thrombosis of other dural sinuses, have become uncommon. However,SDE is still a life-threatening disease entity.It is defined as a purulent collection between dura mater and arachnoid.The most common cause of SDE is sinusitis.Other causes include meningitis,otitis media,operative infection,head trauma,and bacteremic seeding of previous subdural hematoma, Here,we present a rapidly progressive case ofinterhemispheric SDE following sinusitis.Clinicians should be aware of SDE when the patient presents with headache and fever,and neuroimaging manifests as a dilated subdural space especially in adolescent with sinusitis.展开更多
文摘To the Editor:With the advent of antibiotics application,intracranial complications of paranasal sinusitis,including meningitis, intracranial abscess,subdural empyema (SDE),epidural abscess, cavernous sinus thrombosis,and thrombosis of other dural sinuses, have become uncommon. However,SDE is still a life-threatening disease entity.It is defined as a purulent collection between dura mater and arachnoid.The most common cause of SDE is sinusitis.Other causes include meningitis,otitis media,operative infection,head trauma,and bacteremic seeding of previous subdural hematoma, Here,we present a rapidly progressive case ofinterhemispheric SDE following sinusitis.Clinicians should be aware of SDE when the patient presents with headache and fever,and neuroimaging manifests as a dilated subdural space especially in adolescent with sinusitis.