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부비동염으로 인한 경막밑축농: 뇌전증지속상태, 안와첨단증후군을 동반한 유사 군발두통 증례 보고

Subdural Empyema Secondary to Sinusitis: Presenting with Cluster-like Headache, Status Epilepticus, and Orbital Apex Syndrome

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초록

A 67-year-old man suffered cluster-like headache for 8 months. He underwent endoscopic sinus surgery 2 months prior to the onset of headache. The patient experienced status epilepticus 7 months after the onset of cluster-like headache, and 8 months after its onset, orbital apex syndrome developed. Brain magnetic resonance imaging (MRI) showed subdural empyema. This case emphasizes the association between subdural empyema caused by sinusitis and the potential manifestation of various neurological symptoms, including clusterlike headache, status epilepticus, and orbital apex syndrome.

Abstract

A 67-year-old man suffered cluster-like headache for 8 months. He underwent endoscopic sinus surgery 2 months prior to the onset of headache. The patient experienced status epilepticus 7 months after the onset of cluster-like headache, and 8 months after its onset, orbital apex syndrome developed. Brain magnetic resonance imaging (MRI) showed subdural empyema. This case emphasizes the association between subdural empyema caused by sinusitis and the potential manifestation of various neurological symptoms, including clusterlike headache, status epilepticus, and orbital apex syndrome.

참고문헌 (10)

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  7. Buture A, "Systematic literature review on the delays in the diagnosis and misdiagnosis of cluster headache", Neurol Sci, 40, pp.25~39 (2019)
  8. Rodriguez LM, "Cluster-like headache secondary to maxillary sinusitis by Aspergillus", Cephalalgia Rep, 1, pp.2515816318814226~ (2018)
  9. Ziegler A, "Neurological complications of acute and chronic sinusitis", Curr Neurol Neurosci Rep, 18, pp.5~ (2018)
  10. Chokkappan K, "Rapidly developing subdural empyema in an adult with sinusitis : a neurosurgical threat alert", Asian J Neurosurg, 13, pp.458~461 (2018)

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