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Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: a rare combination of complications arising from unilateral frontal sinusitis

Published online by Cambridge University Press:  01 October 2012

H Jones ,
A Trinidade ,
M C Jaberoo  and
M Lyons
H Jones
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
A Trinidade*
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
M C Jaberoo
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
M Lyons
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
*
Address for correspondence: Mr A Trinidade, Department of Otolaryngology, The Lister Hospital, Coreys Mill Lane, Stevenage SG1 4AB, UK E-mail: [email protected]
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Abstract

Background:

Subclinical infection of the sinuses can result in delayed diagnosis and unusual presenting complications.

Case report:

This paper describes the case of a 14-year-old boy with a rare combination of periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis following a late presentation of unilateral frontal sinusitis.

Results:

Following multiple surgical procedures, and antimicrobial and anticoagulation therapy, the patient made a full recovery.

Conclusion:

Serious sinusitis complications still occur, and can do so in unusual combinations with minimal clinical signs. Systemic anticoagulation therapy is considered safe practice in the management of cerebral venous sinus thrombosis and may reduce morbidity and mortality.

Keywords

SinusitisChildAbscessSinus ThrombosisIntracranial
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 12 , December 2012 , pp. 1281 - 1283
Copyright
Copyright © JLO (1984) Limited 2012

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References

1Jones, NS, Walker, JL, Bassi, S, Jones, T, Punt, J. The intracranial complications of rhinosinusitis: can they be prevented? Laryngoscope 2002;112:59–63CrossRefGoogle ScholarPubMed
2Younis, RT, Lazar, RH, Anand, VK. Intracranial complications of sinusitis: a 15-year review of 39 cases. Ear Nose Throat J 2002;81:636–8, 640–2, 644CrossRefGoogle ScholarPubMed
3Nakamura, S, Kawamata, T, Kobayashi, T, Hori, T. Clival inflammation with cavernous sinus thrombophlebitis and orbital subperiosteal abscess. Neurol Med Chir (Tokyo) 2010;50:168–71CrossRefGoogle ScholarPubMed
4Yeh, CH, Chen, WC, Lin, M, Huang, HT, Choa, SC, Lo, YC. Intracranial brain abscess preceded by orbital cellulitis and sinusitis. J Craniofac Surg 2010;21:934–6CrossRefGoogle ScholarPubMed
5Durand, B, Poje, C, Dias, M. Sinusitis-associated epidural abscess presenting as posterior scalp abscess–a case report. Int J Pediatr Otorhinolaryngol 1998;43:147–51CrossRefGoogle ScholarPubMed
6Herrmann, BW, Forsen, JW. Simultaneous intracranial and orbital complications of acute rhinosinusitis in children. Int J Pediatr Otorhinolaryngol 2004;68:619–25CrossRefGoogle ScholarPubMed
7Fearon, B, Edmonds, B, Bird, R. Orbital-facial complications of sinusitis in children. Laryngoscope 1979;89:947–53CrossRefGoogle ScholarPubMed
8Celik, H, Islam, A, Felek, SA, Yüksel, D. A very rare complication of acute sinusitis: subgaleal abscess. Kulak Burun Bogaz Ihtis Derg 2009;19:155–8Google ScholarPubMed
9Moore, WN, Cannon, ML, O'Neill, JC. An unusual case of cerebral venous sinus thrombosis in a pediatric patient. J Emerg Med 2009;40:283–6CrossRefGoogle ScholarPubMed
10Germiller, JA, Monin, DL, Sparano, AM, Tom, LW. Intracranial complications of sinusitis in children and adolescents and their outcomes. Arch Otolaryngol Head Neck Surg 2006;132:969–76CrossRefGoogle ScholarPubMed
11Younis, RT, Anand, VK, Davidson, B. The role of computed tomography and magnetic resonance imaging in patients with sinusitis with complications. Laryngoscope 2002;112:224–9CrossRefGoogle ScholarPubMed
12Dlamini, N, Billinghurst, L, Kirkham, FJ. Cerebral venous sinus (sinovenous) thrombosis in children. Neurosurg Clin N Am 2010;21:511–27.CrossRefGoogle ScholarPubMed
13Ferro, JM, Canhão, P, Stam, J, Bousser, MG, Barinagarrementeria, F. Prognosis of cerebral vein and dural sinus thrombosis: results of the International Study on Cerebral Vein and Dural Sinus Thrombosis (ISCVT). Stroke 2004;35:664–70CrossRefGoogle Scholar
14Moharir, MD, Shroff, M, Stephens, D, Pontigon, AM, Chan, A, MacGregor, D et al. Anticoagulants in pediatric cerebral sinovenous thrombosis: a safety and outcome study. Ann Neurol 2010;67:590–9CrossRefGoogle ScholarPubMed
15Coutinho, J, de Bruijn, SF, Deveber, G, Stam, J. Anticoagulation for cerebral venous sinus thrombosis. Cochrane Database Syst Rev 2011;(8):CD002005CrossRefGoogle ScholarPubMed
16Medel, R, Monteith, SJ, Crowley, RW, Dumont, AS. A review of therapeutic strategies for the management of cerebral venous sinus thrombosis. Neurosurg Focus 2009;27:E6CrossRefGoogle ScholarPubMed
17Dolan, R, Chowdhury, K. Diagnosis and treatment of intracranial complications of paranasal sinus infections. J Oral Maxillofac Surg 1995;53:1080–97CrossRefGoogle ScholarPubMed