Subduralempyem als Komplikation einer akuten Sinusitis frontalis 			 auf dem Boden eines Stirnhöhlenosteoms

Semmler, María Eugenia Aubet; Keck, Tilman

doi:10.1055/s-2007-966519

Cited by 1 publication

(2 citation statements)

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“…However, some authors have proposed the role of osteoma in the development of intracranial infection. [ 4 5 ] In fact, a giant osteoma may progress to trigger bone crack in the posterior wall of the sinus concomitantly with traumatism, leading thus to meningeal erosion. Although rarely reported, the tumor may also grow gradually intradurally with dural defect, resulting in a fistula between the sinuses and the intracranial compartment.…”

Section: Discussionmentioning

confidence: 99%

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Subdural empyema complicating a giant fronto-ethmoidal osteoma

et al. 2020

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Osteomas of the paranasal sinuses rarely lead to intracranial manifestations. We present an unusual case of a giant frontal sinus osteoma leading to subdural empyema formation. Determine the origin and the optimal surgical approach of these unusual lesions by analyzing giant osteomas of the frontal and ethmoidal sinuses in the literature. We report a rare case of giant frontoethmoidal osteoma with intracranial extension in a 34-year-old man, revealed by seizures. Neuroradiological studies revealed frontoparietal subdural empyema associated to a large osteoma in the right frontal sinus. The patient underwent surgical evacuation of the empyema and resection of the osteoma in one stage operation of decompressive craniotomy. The patient recovered very well after surgery and postoperative antibiotic therapy. This case represents in the literature only the third-reported case of subdural empyema complicating frontoethmoidal osteoma. The surgical treatment options, including open surgery techniques and endoscopic approaches, as well as pathogenesis are discussed according to the relevant literature.

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Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, only two cases of frontal osteoma complicated by subdural empyema have been reported in the literature. [ 4 5 ] Through this observation and the review of the literature, we aim to discuss the etiology of intracranial infection, complicating sinusal osteomas, their pathogenesis, and the treatment strategy.…”

Section: Introductionmentioning

confidence: 99%