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Periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis: a rare combination of complications arising from unilateral frontal sinusitis

Published online by Cambridge University Press:  01 October 2012

H Jones ,
A Trinidade ,
M C Jaberoo  and
M Lyons
H Jones
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
A Trinidade*
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
M C Jaberoo
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
M Lyons
Affiliation:
Department of Otolaryngology, The Lister Hospital, Stevenage, UK
*
Address for correspondence: Mr A Trinidade, Department of Otolaryngology, The Lister Hospital, Coreys Mill Lane, Stevenage SG1 4AB, UK E-mail: aarontrinidade@gmail.com
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Abstract

Background:

Subclinical infection of the sinuses can result in delayed diagnosis and unusual presenting complications.

Case report:

This paper describes the case of a 14-year-old boy with a rare combination of periorbital cellulitis, subgaleal abscess and superior sagittal sinus thrombosis following a late presentation of unilateral frontal sinusitis.

Results:

Following multiple surgical procedures, and antimicrobial and anticoagulation therapy, the patient made a full recovery.

Conclusion:

Serious sinusitis complications still occur, and can do so in unusual combinations with minimal clinical signs. Systemic anticoagulation therapy is considered safe practice in the management of cerebral venous sinus thrombosis and may reduce morbidity and mortality.

Keywords

SinusitisChildAbscessSinus ThrombosisIntracranial
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 12 , December 2012 , pp. 1281 - 1283
Copyright
Copyright © JLO (1984) Limited 2012

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