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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(03): 737-740
DOI: 10.4103/ajns.AJNS_196_20
Case Report

Subdural empyema complicating a giant fronto-ethmoidal osteoma

Mohammed Benzagmout
1   Department of Neurosurgery, Hassan II Hospital, Medical School of Fez, University Sidi Mohammed Ben Abdellah, Fez
2   Clinical Science Laboratory, Faculty of Medicine, University Sidi Mohammed Ben Abdellah, Fez
,
Fayçal Lakhdar
1   Department of Neurosurgery, Hassan II Hospital, Medical School of Fez, University Sidi Mohammed Ben Abdellah, Fez
2   Clinical Science Laboratory, Faculty of Medicine, University Sidi Mohammed Ben Abdellah, Fez
,
Khalid Chakour
1   Department of Neurosurgery, Hassan II Hospital, Medical School of Fez, University Sidi Mohammed Ben Abdellah, Fez
,
Mohammed Chaoui
1   Department of Neurosurgery, Hassan II Hospital, Medical School of Fez, University Sidi Mohammed Ben Abdellah, Fez
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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.

Key-words:

Fronto-ethmoidal - giant - osteoma - subdural empyema - surgery

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 05. Mai 2020

Angenommen: 03. Juni 2020

Artikel online veröffentlicht:
16. August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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