6533b7d2fe1ef96bd125e2f0
RESEARCH PRODUCT
Parietal subdural empyema as complication of acute odontogenic sinusitis: a case report
Francesco MartinesMarianna MuciaSergio FerraraAngelo GambinoFederico SireciPietro Salvagosubject
Malemedicine.medical_specialtyAdolescentMaxillary sinusmedicine.medical_treatmentCase ReportSubdural empyemaSubdural SpaceDiagnosis DifferentialIntracranial infections Odontogenic sinusitis Paranasal sinusitis Subdural empyemaVancomycinMetronidazoleParietal LobemedicineHumansSinusitisSubdural spaceSinusitisCraniotomyOdontogenic sinusitisSubdural empyemaMedicine(all)Empyema SubduralFrontal sinusrhinorrheabusiness.industryParanasal sinusitisSettore MED/37 - NeuroradiologiaSequelaMeropenemGeneral MedicineMaxillary Sinusmedicine.diseaseAnti-Bacterial AgentsSurgerySettore MED/32 - AudiologiaTreatment Outcomemedicine.anatomical_structureSettore MED/31 - OtorinolaringoiatriaIntracranial infectionsAcute DiseaseTooth ExtractionThienamycinsmedicine.symptomTomography X-Ray ComputedbusinessCraniotomyFollow-Up Studiesdescription
Introduction: To date intracranial complication caused by tooth extractions are extremely rare. In particular parietal subdural empyema of odontogenic origin has not been described. A literature review is presented here to emphasize the extreme rarity of this clinical entity. Case presentation: An 18-year-old Caucasian man with a history of dental extraction developed dysarthria, lethargy, purulent rhinorrhea, and fever. A computed tomography scan demonstrated extensive sinusitis involving maxillary sinus, anterior ethmoid and frontal sinus on the left side and a subdural fluid collection in the temporal-parietal site on the same side. He underwent vancomycin, metronidazole and meropenem therapy, and subsequently left maxillary antrostomy, and frontal and maxillary sinuses toilette by an open approach. The last clinical control done after 3 months showed a regression of all symptoms. Conclusions: The occurrence of subdural empyema is an uncommon but possible sequela of a complicated tooth extraction. A multidisciplinary approach involving otolaryngologist, neurosurgeons, clinical microbiologist, and neuroradiologist is essential. Antibiotic therapy with surgical approach is the gold standard treatment.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2014-08-01 |