Korean J Otorhinolaryngol-Head Neck Surg.  2017 Aug;60(8):420-424. 10.3342/kjorl-hns.2017.16817.

A Case of Endoscopic Transethmoidal Drainage of Subdural Abscess Originated from Dental Infection

• Noh Y
• Kim J
• Hong SD
• Choi JW

• KMID: 2390901
• DOI: http://doi.org/10.3342/kjorl-hns.2017.16817

Abstract

Subdural empyema is fulminating purulent infection that develops between the dura and the arachnoid membranes. It is rare but one of the most immediate of neurosurgical emergencies, hence the importance of proper diagnosis and early intervention. Most subdural empyema complicated in the ENT field originate from sinonasal or otologic infections rather than dental infections. In our case of 64-years-old male, who was admitted with headache and fever, the diagnosed subdural empyema originated from odontogenic parapharyngeal abscess. We report that the case was successfully managed after urgent surgical drainage by endoscopic transethmoidal approach with long term intravenous antibiotics.

Keyword

Dental infection; Endoscopic transethmoidal drainage; Parapharyngeal abscess; Subdural empyema

MeSH Terms

Abscess*
Anti-Bacterial Agents
Arachnoid
Diagnosis
Drainage*
Early Intervention (Education)
Emergencies
Empyema, Subdural
Fever
Headache
Humans
Male
Membranes
Anti-Bacterial Agents