An 88year-old female presented with bacterial meningo-encephalitis secondary to a postoperative pyocele in her left fronto-ethmoidal sinuses.
She was admitted to our hospital because of high fever and unconsciousness. Left exophthalmus and left eyelid swelling also occurred. On examination, her cerebrospinal fluid showed a high cell colunt and CT scanning revealed infections in the left frontal and anterior ethmoidal sinuses. Ten days after her admission, an operation was performed by a transnasal approach for her fronto-ethmoidal pyocele.
The conciousness level of this patient recovered 23 days after operation. But right hemiplegia due to the meningo-encephalitis was recognized. After the sugery, no meningitis has recurred at the time of this report. We also discuss the rhinogenic intracranial complications of this case.
