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Cerebral Abscess Due to Sinusitis

Cerebral Abscess Due to Sinusitis IMAGES IN NEUROLOGY 12-YEAR-OLD BOY sion recovery MRI (Figure 1) Follow-up MRI performed 3 presented to the showed hyperintense edema sur- weeks after the operation showed a emergency depart- rounding the cerebral abscess as well decrease in abscess size, and MRI ment following a as inflammatory tissue and secre- performed 6 months postopera- A generalized tonic- tions within the left frontal, ethmoi- tively showed no evidence of cere- clonic seizure lasting 5 minutes. He dal, and maxillary sinuses. On the bral abscess. The patient had nor- had had a 6-day fever with a severe sagittal postcontrast T1-weighted mal psychosomatic development frontal headache and progressive image (Figure 2), a hyperintense without neurological deficit. ideomotor impairment. capsule corresponding to a well- Panagiotis Papanagiotou, MD On examination, the child had a defined abscess wall and strongly hy- Iris Quasar Grunwald, MD body temperature of 40°C. There perintense signals consistent with se- was no focal neurological deficit. His cretions in the frontal sinus were Maria Politi, MD cranial nerves were intact and observed. Wolfgang Reith, MD muscle tone, power, and reflexes Based on the clinical examina- were normal with flexor plantar re- tion and MRI and laboratory find- Correspondence: Dr Papanagiotou, sponses. He http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/archneur.65.5.668
pmid
18474747
Publisher site
See Article on Publisher Site

Abstract

IMAGES IN NEUROLOGY 12-YEAR-OLD BOY sion recovery MRI (Figure 1) Follow-up MRI performed 3 presented to the showed hyperintense edema sur- weeks after the operation showed a emergency depart- rounding the cerebral abscess as well decrease in abscess size, and MRI ment following a as inflammatory tissue and secre- performed 6 months postopera- A generalized tonic- tions within the left frontal, ethmoi- tively showed no evidence of cere- clonic seizure lasting 5 minutes. He dal, and maxillary sinuses. On the bral abscess. The patient had nor- had had a 6-day fever with a severe sagittal postcontrast T1-weighted mal psychosomatic development frontal headache and progressive image (Figure 2), a hyperintense without neurological deficit. ideomotor impairment. capsule corresponding to a well- Panagiotis Papanagiotou, MD On examination, the child had a defined abscess wall and strongly hy- Iris Quasar Grunwald, MD body temperature of 40°C. There perintense signals consistent with se- was no focal neurological deficit. His cretions in the frontal sinus were Maria Politi, MD cranial nerves were intact and observed. Wolfgang Reith, MD muscle tone, power, and reflexes Based on the clinical examina- were normal with flexor plantar re- tion and MRI and laboratory find- Correspondence: Dr Papanagiotou, sponses. He

Journal

JAMA NeurologyAmerican Medical Association

Published: May 1, 2008

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