Belgian Journal of Paediatrics
Parafalcine subdural empyema as an uncommon complication of acute odontogenic sinusitis: a case report and literature review
Vol. 23 No. 3 (2021), Case reports
Vol. 23 No. 3 (2021)

Parafalcine subdural empyema as an uncommon complication of acute odontogenic sinusitis: a case report and literature review

Case reports
Published 2021-10-03 — Updated on 2023-01-18
Lise Delhaise
University of Antwerp, Antwerp University Hospital, Department of Pediatrics, Belgium
Karen Van Mechelen
University of Antwerp, Antwerp University Hospital, Department of Pediatrics, Belgium
Margo Hagendorens
University of Antwerp, Antwerp University Hospital, Department of Pediatrics, Belgium.
Sven Dekeyzer
University of Antwerp, Antwerp University Hospital, Department of Radiology
Berten Ceulemans
University of Antwerp, Antwerp University Hospital, Department of Pediatric Neurology, Belgium
Mania De Praeter
University of Antwerp, Antwerp University Hospital, Department of Neurosurgery, Belgium

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Keywords

subdural empyema
proflavine
sinusitis
odontogenic

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How to Cite

Delhaise, L., Van Mechelen, K., Hagendorens, M., Dekeyzer, S., Ceulemans, B., & De Praeter, M. (2023). Parafalcine subdural empyema as an uncommon complication of acute odontogenic sinusitis: a case report and literature review. Belgian Journal of Paediatrics, 23(3), 248–250. Retrieved from http://belgjpaediatrics.com/index.php/bjp/article/view/139 (Original work published October 3, 2021)
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Abstract

Parafalcine subdural empyema is an uncommon suppurative infection of the central nervous system. We present a case of a 15-year old boy who developed headache with an altered level of consciousness, confusion, a right hemiparesis and fever three weeks after tooth extraction. Magnetic resonance imaging confirmed a parafalcine subdural empyema. Intravenous ceftriaxone, metronidazole and acyclovir were administered, and emergency trepanation and functional endoscopic sinus surgery were performed. Culture showed the presence of multisensitive Streptococcus anginosus.  Neurological examination at discharge, 28 days after admission, was normal. Parafalcine subdural empyema is an uncommon complication after tooth extraction. Neurologic sequelae are common. 

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