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Sinusitis

Induced subdural empyerna

Departments of Neurology, Pediatrics, and Medicine, Division of Infectious Diseases, Montefiore Hospital and Medical Center-Albert Einstein College of Medicine, Bronx, NY.

Article abstract—In 17 cases of sinusitis-induced subdural empyema, all but 5 occurred in boys or men aged 13 to 33 years. Clinical features were headaches and fever (14 patients), nuchal rigidity (10)., and seizures (8). Seven patients had periorbital cellulitis, and 15 had radiographic clouding of at least one sinus. Only five patients had a history of sinusitis.

CT identified the empyema accurately in seven patients but failed in two patients who developed subdural empyema while being treated for sinusitis-induced cerebritis. Ten patients had specific bacteriologic etiologies determined by culture of empyema, blood, or sinuses.

Address correspondence and reprint requests to Dr. Kaufman, Department of Neurology, Montefiore Hospital and Medical Center, 111 E. 210th Street, Bronx, NY 10467.

Accepted for publication June 24, 1982.

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