Sinusitis as a cause of insidious headache in a pregnant woman: A case report
| Autor: | Monica O. Patadia, Jane J. Han, Sara Yang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pregnancy
Pediatrics medicine.medical_specialty education.field_of_study business.industry Incidence (epidemiology) Population Obstetrics and Gynecology Case Reports medicine.disease Empyema 03 medical and health sciences 0302 clinical medicine medicine Headaches medicine.symptom 030223 otorhinolaryngology Sinusitis education business 030217 neurology & neurosurgery |
| Zdroj: | Obstet Med |
| ISSN: | 1753-4968 1753-495X |
| DOI: | 10.1177/1753495x20970095 |
| Popis: | Background The incidence of headaches during pregnancy is 35%. Although ruling out pre-eclampsia as a possible cause for headache is important in the pregnant population, acute sinusitis should remain on the differential as it occurs six times more frequently in pregnant women. Untreated disease can lead to rare intracranial complications such as a subdural empyema. Case presentation: 21-year-old female with recurring headaches at 33 weeks of gestation was diagnosed with pre-eclampsia with severe features requiring emergent caesarean section. The woman continued to have altered mental status and focal neurologic deficits after delivery. Computerized tomography head imaging demonstrated a subdural collection discovered to be an empyema due to unilateral acute sinusitis of odontogenic origin. Conclusion Maintaining a clinical suspicion for acute sinusitis as a cause of headache in a pregnant woman is important for prompt diagnosis and treatment before it develops into a rare intracranial complication. |
| Databáze: | OpenAIRE |
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