J Korean Ophthalmol Soc.  2009 Mar;50(3):467-470. 10.3341/jkos.2009.50.3.467.

A Case of Simultaneous Orbital Cellulitis and Intracranial Complication

• Moon SW
• Lee YJ
• Lee YS
• Jung JH

• KMID: 2111260
• DOI: http://doi.org/10.3341/jkos.2009.50.3.467

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.

Keyword

Acute sinusitis; Intracranial complication; Orbital cellulitis

MeSH Terms

Abscess
Anti-Bacterial Agents
Brain
Child
Drainage
Fever
Headache
Humans
Male
Orbit
Orbital Cellulitis
Otolaryngology
Sinusitis
Suppuration
Anti-Bacterial Agents

Figure

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  Figure 1. (A) Severe erythematous lid swelling and exophthalmos of the left eye. (B) Orbital CT, coronary view at admission. This Orbital CT demonstrate left subfrontal subperiosteal abscess (curved arrow).

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  Figure 2. (A) Orbital CT, axial view. (B) Orbital CT, coronary view. These orbital CT pictures demonstrate the expanded left subfrontal subperiosteal abscess and subdural abscess (curved arrow) right above it.

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  Figure 3. (A) Complete disappearance of subdural abscess in brain CT 4 months after orbital cellulitis. (B) Almost normal appearance of the patient 4 month after orbital cellulits.

Reference

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