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Sık Görülen Sfenoid Sinüzitin Nadir Görülen Bir Komplikasyonu Subdural Ampiyem: Olgu Sunumu

Year 2018, Volume: 9 Issue: 34, 105 - 108, 01.09.2018
https://doi.org/10.17944/mkutfd.389689

Abstract

Subdural ampiyem; dura ve araknoid zarlar arasındaki sıvı toplamasıdır ve menenjit, orta kulak enfeksiyonu, paranazal sinüs enfeksiyonu, travma veya kafa cerrahisi gibi durumlara sekonder gelişebilir. Paranazal sinüs enfeksiyonlarına sekonder nadiren hayatı tehdit eden komplikasyonlar gelişebilir. Erken tanı ve tedavi, mortalite ve morbiditede azalmaya neden olur. Ateş, baş ağrısı ve kusma gibi en sık rastlanan semptom triadının yanı sıra spesifik olmayan belirtiler ve işaretler ortaya çıkabilir. Bilgisayarlı tomografi tanı için ilk seçenektir; ancak Manyetik Rezonans Görüntüleme daha etkili ve kullanışlıdır. Tedavi için geniş spektrumlu antibiyoterapi seçilir, çoğu vakada cerrahi drenaj gerekir. Bu yazıda sık görülen sfenoid sinüzit sonrası enfeksiyona sekonder olarak gelişen subdural ampiyem olgusunu sunmayı amaçladık.

References

  • Nathoo N, Nadvi SS, van Dellen JR, Gouws E. Intracranial subdural empyemas in the era of computed tomography: a review of 699 cases. Neurosurgery 1999; 44(3):529-35.
  • Wackym PA, Canalis RF, Feuerman T. Subdural emp¬yema of otorhinological origin. J Laryngol Otol 1990; 104(2):118-22.
  • Le Beau J, Creissard P, Harispe L, Redondo A. Surgical treatment of brain abscess and subdural empyema. J Neurosurg 1973; 38(2):198–203.
  • Post EM, Modesti LM. “Subacute” postoperative subdural empyema. J Neurosurg 1981; 55(5):761–5.
  • Greenlee JE. Subdural empyema. Curr Treat Options Neurol 2003; 5(1):13–22.
  • Yilmaz N, Kiymaz N, Yilmaz C, Bay A, Yuca SA, Mumcu C et al. Surgical treatment outcome of subdural empyema: a clinical study. Pediatr Neurosurg 2006; 42(5):293–8.
  • Dill SR, Cobbs CG, McDonald CK. Subdural empyema: analysis of 32 cases and review. Clin Infect Dis 1995; 20(2):372–86.
  • Tewari MK, Sharma RR, Shiv VK, Lad SD. Spectrum of intracranial subdural empyemas in a series of 45 patients: current surgical options and outcome. Neurol India 2004; 52(3):346-9.
  • Gupta S, Vachhrajani S, Kulkarni AV, Taylor MD, Dirks P, Drake JM et al. Neurosurgical management of extraaxial central nervous system infections in children. J Neurosurg Pediatr. 2011; 7(5):441-51.
  • Waseem M, Khan S, Bomann S. Subdural empyema complicating sinusitis. J Emerg Med. 2008; 35(3):277-81.
  • Bruner DI, Littlejohn L, Pritchard A. Subdural Empyema Presenting with Seizure, Confusion, and Focal Weakness. Western Journal of Emergency Medicine, 2012; 13(6),509-511.
  • Ong YK, Tan HK. Suppurative intracranial complications of sinusitis in children. Int J Pediatr Otorhinolaryngol 2002;66(1):49.
  • Johnson DL, Markle BM, Weiderman BL, Hanahan L. Treatment of intracranial abscesses associated with sinusitis in children and adolescents. J Pediatr 1988;113: 15-23.

A Rare Complication of Frequent Sphenoid Sinusitis Is Subdural Empyema: Case Report

Year 2018, Volume: 9 Issue: 34, 105 - 108, 01.09.2018
https://doi.org/10.17944/mkutfd.389689

Abstract

Subdural empyema is a fluid collection between dura and arachnoid layers and can develop secondary to states like meningitis, middle ear infection, paranasal sinus infection, trauma or cranial surgery. It can develop secondary to paranasal sinus infections which are rare observed and lead to a life-threatening situation. Early diagnosis and treatment cause a decrease in mortality and morbidity. As well as nonspecific symptoms and signs might cause, the most common symptom triad of fever, headaches and vomiting. Computerized tomography is the first choice for the diagnosis; however Magnetic Resonance İmaging is more efficient and useful. Broad spectrum antibiotherapy is chosen for the treatment, in most cases surgical drainage becomes necessary. In this paper, we aimed to present a rarely seen subdural empyema case secondary to frequently seen sphenoid sinusitis.

References

  • Nathoo N, Nadvi SS, van Dellen JR, Gouws E. Intracranial subdural empyemas in the era of computed tomography: a review of 699 cases. Neurosurgery 1999; 44(3):529-35.
  • Wackym PA, Canalis RF, Feuerman T. Subdural emp¬yema of otorhinological origin. J Laryngol Otol 1990; 104(2):118-22.
  • Le Beau J, Creissard P, Harispe L, Redondo A. Surgical treatment of brain abscess and subdural empyema. J Neurosurg 1973; 38(2):198–203.
  • Post EM, Modesti LM. “Subacute” postoperative subdural empyema. J Neurosurg 1981; 55(5):761–5.
  • Greenlee JE. Subdural empyema. Curr Treat Options Neurol 2003; 5(1):13–22.
  • Yilmaz N, Kiymaz N, Yilmaz C, Bay A, Yuca SA, Mumcu C et al. Surgical treatment outcome of subdural empyema: a clinical study. Pediatr Neurosurg 2006; 42(5):293–8.
  • Dill SR, Cobbs CG, McDonald CK. Subdural empyema: analysis of 32 cases and review. Clin Infect Dis 1995; 20(2):372–86.
  • Tewari MK, Sharma RR, Shiv VK, Lad SD. Spectrum of intracranial subdural empyemas in a series of 45 patients: current surgical options and outcome. Neurol India 2004; 52(3):346-9.
  • Gupta S, Vachhrajani S, Kulkarni AV, Taylor MD, Dirks P, Drake JM et al. Neurosurgical management of extraaxial central nervous system infections in children. J Neurosurg Pediatr. 2011; 7(5):441-51.
  • Waseem M, Khan S, Bomann S. Subdural empyema complicating sinusitis. J Emerg Med. 2008; 35(3):277-81.
  • Bruner DI, Littlejohn L, Pritchard A. Subdural Empyema Presenting with Seizure, Confusion, and Focal Weakness. Western Journal of Emergency Medicine, 2012; 13(6),509-511.
  • Ong YK, Tan HK. Suppurative intracranial complications of sinusitis in children. Int J Pediatr Otorhinolaryngol 2002;66(1):49.
  • Johnson DL, Markle BM, Weiderman BL, Hanahan L. Treatment of intracranial abscesses associated with sinusitis in children and adolescents. J Pediatr 1988;113: 15-23.
There are 13 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Hanifi Bayaroğulları This is me

İsmail Kartal This is me

Gülen Burakgazi

Rasim Yanmaz This is me

Mustafa Aras

Publication Date September 1, 2018
Submission Date February 3, 2018
Acceptance Date December 16, 2018
Published in Issue Year 2018 Volume: 9 Issue: 34

Cite

Vancouver Bayaroğulları H, Kartal İ, Burakgazi G, Yanmaz R, Aras M. A Rare Complication of Frequent Sphenoid Sinusitis Is Subdural Empyema: Case Report. mkutfd. 2018;9(34):105-8.