Temporal lobe abscess in a patient with isolated sphenoiditis.

Thomas A. Stewart; Cody S. Carter; Kristin A. Seiberling

doi:10.2500/ar.2011.2.0001

Temporal lobe abscess in a patient with isolated sphenoiditis.

Thomas A. Stewart, Cody S. Carter, Kristin A. Seiberling

Research output: Contribution to journal › Article › peer-review

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.

Original language	American English
Pages (from-to)	40-2
Number of pages	3
Journal	Allergy & Rhinology
Volume	2
Issue number	1
DOIs	https://doi.org/10.2500/ar.2011.2.0001
State	Published - Jan 1 2011

Disciplines

Medicine and Health Sciences
Surgery

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title = "Temporal lobe abscess in a patient with isolated sphenoiditis.",

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.",

author = "Stewart, {Thomas A.} and Carter, {Cody S.} and Seiberling, {Kristin A.}",

note = "I solated sphenoid sinusitis accounts for 2-3% of all sinus infections evaluated by radiological imaging. Fungal sphenoiditis is present in ~5% of isolated sphenoiditis. Noninvasive fungal sphenoid sinusitis rarely presents with serious complications. However, diplopia and/or transient vision loss have been reported in up to 3% of cases.",

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N2 - 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.

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Temporal lobe abscess in a patient with isolated sphenoiditis.

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