Frontal sinus osteoma associated with cerebral abscess formation: a case report
| Autor: | Donald E. Richardson, Christopher R. Mascott, John R. Tompkins, Lori E. Summers |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Brain Abscess medicine Humans Abscess Pleocytosis Osteoma Brain abscess Craniotomy Frontal sinus business.industry Middle Aged medicine.disease Magnetic Resonance Imaging Surgery body regions medicine.anatomical_structure Paranasal sinuses Frontal lobe Frontal Sinus Neurology (clinical) Tomography X-Ray Computed business Paranasal Sinus Neoplasms |
| Zdroj: | Surgical Neurology. 55:235-239 |
| ISSN: | 0090-3019 |
| Popis: | BACKGROUND Osteomas of the paranasal sinuses rarely lead to intracranial manifestations. We present an unusual case of a frontal sinus osteoma leading to intracerebral abscess formation. CASE DESCRIPTION A 51-year-old Hispanic man presented with increasing frontal headaches, new onset seizure, lethargy, global dysphasia, and unilateral hemiparesis. CSF studies demonstrated mild pleocytosis. Neuroradiological studies revealed an opacity filling the left frontal sinus, as well as a ring-enhancing mass with surrounding edema in the left frontal lobe. The patient was surgically treated with a left frontal osteoplastic craniotomy and removal of the abscess and bony mass. Intraoperative cultures were positive for Streptococcus pneumoniae. Pathology revealed bony tumor consistent with osteoma. The patient's neurological status improved to baseline after surgery. CONCLUSION The frontal sinus osteoma was associated with rapid development of a frontal lobe abscess, requiring emergent surgical debridement. Although rare, intracerebral manifestations should be considered and expected as a cause of new neurological deficits in the presence of paranasal sinus osteoma. |
| Databáze: | OpenAIRE |
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