Sık Görülen Sfenoid Sinüzitin Nadir Görülen Bir Komplikasyonu Subdural Ampiyem: Olgu Sunumu

Year 2018, Volume: 9 Issue: 34, 105 - 108, 01.09.2018

Hanifi Bayaroğulları İsmail Kartal Gülen Burakgazi , Rasim Yanmaz Mustafa Aras

https://doi.org/10.17944/mkutfd.389689

Abstract

Subdural ampiyem; dura ve araknoid zarlar arasındaki sıvı toplamasıdır ve menenjit, orta kulak enfeksiyonu, paranazal sinüs enfeksiyonu, travma veya kafa cerrahisi gibi durumlara sekonder gelişebilir. Paranazal sinüs enfeksiyonlarına sekonder nadiren hayatı tehdit eden komplikasyonlar gelişebilir. Erken tanı ve tedavi, mortalite ve morbiditede azalmaya neden olur. Ateş, baş ağrısı ve kusma gibi en sık rastlanan semptom triadının yanı sıra spesifik olmayan belirtiler ve işaretler ortaya çıkabilir. Bilgisayarlı tomografi tanı için ilk seçenektir; ancak Manyetik Rezonans Görüntüleme daha etkili ve kullanışlıdır. Tedavi için geniş spektrumlu antibiyoterapi seçilir, çoğu vakada cerrahi drenaj gerekir. Bu yazıda sık görülen sfenoid sinüzit sonrası enfeksiyona sekonder olarak gelişen subdural ampiyem olgusunu sunmayı amaçladık.

Keywords

subdural ampiyem, sfenoid sinüzit, manyetik rezonans görüntüleme

A Rare Complication of Frequent Sphenoid Sinusitis Is Subdural Empyema: Case Report

Abstract

Subdural empyema is a fluid collection between dura and arachnoid layers and can develop secondary to states like meningitis, middle ear infection, paranasal sinus infection, trauma or cranial surgery. It can develop secondary to paranasal sinus infections which are rare observed and lead to a life-threatening situation. Early diagnosis and treatment cause a decrease in mortality and morbidity. As well as nonspecific symptoms and signs might cause, the most common symptom triad of fever, headaches and vomiting. Computerized tomography is the first choice for the diagnosis; however Magnetic Resonance İmaging is more efficient and useful. Broad spectrum antibiotherapy is chosen for the treatment, in most cases surgical drainage becomes necessary. In this paper, we aimed to present a rarely seen subdural empyema case secondary to frequently seen sphenoid sinusitis.

Keywords

Sphenoid sinusitis, subdural empyema, magnetic resonance imaging

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