Arachnoid cyst with bony erosion of the posterior frontal sinus wall as cause of a subdural empyema after pansinusitis
- Highlights • Arachnoidal cysts (ACs) are usually benign and asymptomatic intracranial congenital lesions. • ACs can lead to erosion of the surrounding skull (e.g. posterior wall of the frontal sinus). • Pansinusitis can spread intracranially and eventually lead to subdural empyema (SDE). • SDE is an intracranial infection which is treated by emergency craniotomy and antibiotic treatment. Intracranial arachnoid cysts (AC) can lead to a bony thinning of the surrounding skull. We present a young man, in whom a frontal AC has caused a thinning of the frontal calvaria and of the posterior wall of the frontal sinus. This bony vulnerability allowed a frontal sinusitis to spread intracranially and finally led to a subdural empyema with neurological deterioration. The treatment consisted of an emergency craniotomy with evacuation of the empyema and appropriate antibiotic treatment of the causing pathogen (Streptococcus intermedius).
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| Author: | Holger R. SchlagGND, Christoph-Heinrich Hoffmann, Jens CasteinGND, Jonathan Andreas Hans-Günter NeuhoffGND, Frank KandzioraORCiDGND |
|---|---|
| URN: | urn:nbn:de:hebis:30:3-777230 |
| DOI: | https://doi.org/10.1016/j.inat.2020.100825 |
| ISSN: | 2214-7519 |
| Parent Title (English): | Interdisciplinary neurosurgery |
| Publisher: | Elsevier |
| Place of publication: | Amsterdam |
| Document Type: | Article |
| Language: | English |
| Date of Publication (online): | 2020/07/17 |
| Date of first Publication: | 2020/07/10 |
| Publishing Institution: | Universitätsbibliothek Johann Christian Senckenberg |
| Release Date: | 2024/10/30 |
| Tag: | Arachnoid cyst; Bone erosion; Pansinusitis; Subdural empyema |
| Volume: | 22 |
| Issue: | 100825 |
| Article Number: | 100825 |
| Page Number: | 4 |
| HeBIS-PPN: | 52364440X |
| Institutes: | Medizin |
| Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
| Sammlungen: | Universitätspublikationen |
| Licence (German): |  Creative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International |
