2012 Volume 105 Issue 3 Pages 233-237
We report a case of a 17-year-old adolescent man with intracranial complications due to acute rhinosinusitis. Intracranial sinusitis complications may be challenging, but prognosis can be made favorable in adolescents using aggressive medical and surgical management. He reported headache, fever, vomiting, and fainting. Computed tomography (CT) and magnetic resonance imaging (MRI) indicated an epidural abscess and sinus opacification. Aggressive antibiotic treatment did not relieve suppuration. Although a modified Lothrop procedure contributed to drain frontal sinuses. The formation of intracranial abscess resulting in neurologic deficit occurred. Craniotomy and a ventriculoperitoneal shunt were required to relieve the neurological disturbance.
