A Case of Simultaneous Orbital Cellulitis and Intracranial Complication

Sang Won Moon; Yoon Jung Lee; Young Suk Lee; Jin Hyuk Jung

doi:10.3341/jkos.2009.50.3.467

Journal List > J Korean Ophthalmol Soc > v.50(3) > 1008508

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Moon, Lee, Lee, and Jung: A Case of Simultaneous Orbital Cellulitis and Intracranial Complication

Original Article

J Korean Ophthalmol Soc 2009;50(3):467-470.

Published online: 31 August 2009

DOI: https://doi.org/10.3341/jkos.2009.50.3.467

A Case of Simultaneous Orbital Cellulitis and Intracranial Complication

Sang Won Moon, MD¹, Yoon Jung Lee, MD¹, Young Suk Lee, MD², Jin Hyuk Jung, MD²

¹Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea

²Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea

Address reprint requests to Yoon Jung Lee, MD, Department of Ophthalmology, Hanyang University College of Medicine, Hanyang University Guri Hospital #249-1Kyomoon-dong, Guri-si, Gyeonggi-do 471-701, Korea Tel: 82-31-560-2350, Fax: 82-31-564-9479, E-mail: lyjot@hanyang.ac.kr

Received 27 March 2008 Accepted 21 October 2008

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report a case of simultaneous orbital cellulitis and intracranial complications of acute sinusitis in a young patient.

Case summary

The 11-year-old male presented with a one-day history of left periorbital erythematous swelling, fever and headache. He was diagnosed with acute sinusitis at the department of otorhinolaryngology, and endoscopic sinus drainage of pus was performed. However, the patient's symptoms did not improve. The next day, a subdural abscess was found on brain computed tomography. He was treated by external drainage of the periosteal abscess via a subbrow incision and systemic antibiotics, as well as anticonvulsant medication.

Conclusions

Twenty days after external drainage and beginning systemic antibiotics and anticonvulsant treatment, he was discharged with improved orbital cellulitis symptoms and a resolved subdural abscess.

Keywords: Acute sinusitis, Intracranial complication, Orbital cellulitis

References

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Figure 1.

(A) Severe erythematous lid swelling and exophthalmos of the left eye. (B) Orbital CT, coronary view at admission. This Orbital CT demonstrate left subfrontal subperiosteal abscess (curved arrow).

Figure 2.

(A) Orbital CT, axial view. (B) Orbital CT, coronary view. These orbital CT pictures demonstrate the expanded left subfrontal subperiosteal abscess and subdural abscess (curved arrow) right above it.

Figure 3.

(A) Complete disappearance of subdural abscess in brain CT 4 months after orbital cellulitis. (B) Almost normal appearance of the patient 4 month after orbital cellulits.

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