A Case of Epidural Abscess in Middle Cranial Fossa Secondary to Acute Sphenoid Sinusitis

Yu, Jin; Kim, Nam Gol; Kim, Wee Hwang; Son, Won Sang

Case Report

Journal of Rhinology 2006;13(1):60-65.
Published online May 31, 2006.

A Case of Epidural Abscess in Middle Cranial Fossa Secondary to Acute Sphenoid Sinusitis

Jin Yu, Nam Gol Kim, Wee Hwang Kim, Won Sang Son

Department of Otorhinolaryngology, Kwangju Christian Hospital, Gwangju, Korea. kchent2@hanmail.net

급성 접형동염에 의해 속발한 중두개와 경막외농양 치험 1예

유진, 김남걸, 김위황, 손원상

광주기독병원 이비인후과

Abstract

Acute or chronic sinusitis is common disease of ENT. Most cases usually respond to appropriate treatment; however, some cases occasionally progress to the development of serious complication and poor prognosis. The orbital complications are most common complication fallowed by intracranial complications. The incidence of sinogenic intracranial complications is about 3.7-11.0% and these complications are progressively decreasing however the complications occur due to incorrect use of antibiotics, antibiotics resistant pathogens, decreasing host immunity, improper diagnosis and delayed surgical treatment. Therefore the case of epidural abscess in anterior portion of middle cranial fossa secondary to acute sphenoid sinusitis, which was treated with transnasal endoscopic sphenoidotomy and intravenous antibiotics, is being reported.

Key Words: Sphenoid sinusitis;Epidural abscess