Orbital and Intracranial Complication Resulting from Acute Rhinosinusitis: Case Report

Abstract

Summary Introduction: Among the rhinosinusitis complications, the orbital are the most frequent ones, occurring mostly in the youngsters and children. Simultaneous complications involving the intracranial orbit and space are extremely rare, but they must be severely treated for they have a high rate of morbidity and mortality. Case report: In this work, the authors report a case of a patient who appeared to have preseptal cellulites and epidural abscess, in the form of simultaneous complications of an acute rhinosinusitis. In the patient of this case, choice was made for a clinic treatment associated with a nasosinusal endoscopic surgery and neurosurgical drainage of the intracranial abscess. CT was enough to achieve the diagnosis of this case. Final commentaries: However, it is recommended that, in cases where patients have rhinosinusitis complications, an extensive intracranial investigation needs to be deepened even when this is not so evident in the beginning. Given the polymicrobial nature of these infections, an aggressive culture-guided antibiotic therapy and a multidisciplinary follow-up significantly increase the likelihood of success.

Simultaneous Orbital and Intracranial Abscesses in 17 Cases

“…16 Simultaneous orbital and intracranial abscesses are less well cited in the literature and are isolated to case reports and small case series. [10][11][12][13][14][15] It is important to better understand the presentation, treatment, and outcomes of this cohort due to the high morbidity and mortality associated with simultaneous orbital and intracranial abscesses.…”

“…8,9 The demographics, treatment, and outcomes of patients with severe orbital cellulitis and its subsequent intracranial complications are limited to case reports and small case series. [10][11][12][13][14][15] Management of these patients differ significantly from case to case.…”