범부비동염에 합병된 경막외농양을 보인 11세 환아 1례

Abstract

We reported a case of an 11-year-old boy with an intracranial epidural abscess and pansinusitis. He developed headache and fever and a diagnosis of sinusitis was made in the emergency room (ER). Two days later, the symptoms persisted and the right eye was swollen with tenderness around the right eyelids and fronto-temporal head. Cerebrospinal fluid (CSF) examination showed no abnormal values except for CSF pressure above 20 cmH20. Emergency enhanced brain computed tomography (CT) showed pansinusitis and small areas of air level density in the right frontal convexity. However, according to magnetic resonance imaging (MRI) the air level density lesion adjacent to the frontal sinusitis was an epidural abscess. Intravenous antibiotics were administered for 4 weeks without surgery, since the diameter of the abscess was 0.6 cm and follow up MRI showed noticeable improvement. His sinusitis and intracranial epidural abscess were completely resolved without sequelae at 6 weeks after medication. This report is a useful reference for cases of acute onset headache and may be helpful in diagnosis and treatment decisions for severe childhood sinusitis-related intracranial abscess.