Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Allergy Rhinol (Providence). 2011 Jan;2(1):40-2. doi: 10.2500/ar.2011.2.0001.

Temporal lobe abscess in a patient with isolated sphenoiditis.

Author information

  • 1Department of Otolaryngology, Loma Linda University, Loma Linda, California.

Abstract

A 74-year-old immunocompetent man admitted for severe retro-orbital headache was diagnosed with isolated sphenoiditis. At the time of scheduled surgery, the patient was mildly obtunded, and a head CT revealed a temporal lobe abscess. The patient underwent a left temporal craniectomy and a bilateral endoscopic sphenoid sinusotomy, which revealed gross fungal debris. The patient made a full recovery with resolution of abscess and sinus findings. Suspicion for intracranial infection should be raised in any sinus patient with neurological changes. Early diagnosis with imaging studies is extremely important for surgical drainage before permanent neurological sequelae.

KEYWORDS:

Abcess; allergic sinusitis; fungal infection; headache; sinonasal; sphenoiditis; temporal lobe

PMID:
22852114
[PubMed]
PMCID:
PMC3390129
Free PMC Article

Images from this publication.See all images (6)Free text

Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Ingenta plc Icon for PubMed Central
    Loading ...
    Write to the Help Desk