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80th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

20.05. - 24.05.2009, Rostock

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Orbital and intracranial complication following an acute rhinosinusitis; a case report

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  • corresponding author Jan Kastner - HNO Klinik Prag-Motol, Prag, Tschechische Republik
  • Milos Taudy - HNO-Klinik Prag-Motol, Prag, Tschechische Republik
  • Jiri Lisy - Neuroradiologie Klinik, Prag, Tschechische Republik
  • Jan Betka - HNO-Klinik Prag-Motol, Prag, Tschechische Republik

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hnod346

doi: 10.3205/09hnod346, urn:nbn:de:0183-09hnod3468

Published: April 17, 2009

© 2009 Kastner et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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We report a case of a young adult patient who primarily revealed symptoms of orbitocellulitis as complication of odontogenous acute rhinosinusitis. Proper diagnostic (incl. CT of paranasal sinuses and orbit) and therapeutical measures (incl. FESS-drainage of maxillary sinus, putrid tooth extraction, antibiotics) were undertaken to manage the disease immediately after stationary admission. Two weeks after inconspicuous healing period a hemiparesis due to an intracranial empyema formation developed.

The consecutive orbital and intracranial complications of an acute rhinosinusitis are rare but must be mutually excluded in a complicated rhinosinusitis even when proper surgical and medical treatment tend to efficient healing of orbital complication.

The correct indication of imaging methods, the evaluation of diminutive symptoms and the role of underlying mechanisms of intracranial abscess formation is discussed.

Review of literature concerning orbital and intracranial complications coincidence is stated.

Unterstützt durch: Ministry of Health Czech Republic - Grant Nr.9908-3