J Korean Neurol Assoc.  2024 Aug;42(3):262-265. 10.17340/jkna.2024.0032.

Subdural Empyema Secondary to Sinusitis: Presenting with Cluster-like Headache, Status Epilepticus, and Orbital Apex Syndrome

Affiliations
  • 1Department of Neurology, Pusan National University Hospital, Busan, Korea
  • 2BioMedical Research Institute, Pusan National University Hospital, Busan, Korea
  • 3Department of Neurology, Pusan National University School of Medicine, Busan, Korea

Abstract

A 67-year-old man suffered cluster-like headache for 8 months. He underwent endoscopic sinus surgery 2 months prior to the onset of headache. The patient experienced status epilepticus 7 months after the onset of cluster-like headache, and 8 months after its onset, orbital apex syndrome developed. Brain magnetic resonance imaging (MRI) showed subdural empyema. This case emphasizes the association between subdural empyema caused by sinusitis and the potential manifestation of various neurological symptoms, including cluster-like headache, status epilepticus, and orbital apex syndrome.

Keyword

Status epileptics; Cluster headache; Sinusitis
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