Subdural empyema and other suppurative complications of paranasal sinusitis

Lancet Infect Dis. 2007 Jan;7(1):62-7. doi: 10.1016/S1473-3099(06)70688-0.


Suppurative intracranial infection, including meningitis, intracranial abscess, subdural empyema, epidural abscess, cavernous sinus thrombosis, and thrombosis of other dural sinuses, are uncommon sequelae of paranasal sinusitis. A high index of suspicion is necessary to identify these serious complications. We present a patient with subdural empyema in whom the diagnosis was delayed, followed by a discussion of suppurative complications of sinusitis. The case shows the rapid progression of subdural empyema, which represents a true neurosurgical emergency requiring prompt diagnosis and management.

Publication types

  • Case Reports
  • Clinical Conference
  • Review

MeSH terms

  • Empyema, Subdural / diagnosis
  • Empyema, Subdural / drug therapy
  • Empyema, Subdural / etiology*
  • Empyema, Subdural / surgery
  • Humans
  • Male
  • Middle Aged
  • Paranasal Sinus Diseases / complications*
  • Sinus Thrombosis, Intracranial / diagnosis
  • Sinus Thrombosis, Intracranial / etiology
  • Sinus Thrombosis, Intracranial / therapy
  • Sinusitis / complications*