{"pk":7284,"title":"Subdural Empyema Presenting with Seizure, Confusion, and Focal Weakness","subtitle":null,"abstract":"While sinusitis is a common ailment, intracranial suppurative complications of sinusitis are rare and difficult to diagnose and treat. The morbidity and mortality of intracranial complications of sinusitis have decreased significantly since the advent of antibiotics, but diseases such as subduralempyemas and intracranial abscesses still occur, and they require prompt diagnosis, treatment, and often surgical drainage to prevent death or long-term neurologic sequelae. We present a case of an immunocompetent adolescent male with a subdural empyema who presented with seizures,confusion, and focal arm weakness after a bout of sinusitis. [West J Emerg Med. 2012;13(6):509-511]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Empyema, sinusitis, magnetic resonance imaging"},{"word":"neurosurgery"},{"word":"Infectious disease"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8679j0d3","frozenauthors":[{"first_name":"David","middle_name":"I","last_name":"Bruner","name_suffix":"","institution":"MD\nDepartment of Emergency Medicine, Naval Medical Center, Portsmouth, Virginia","department":"None"},{"first_name":"Lanny","middle_name":"","last_name":"Littlejohn","name_suffix":"","institution":"MD\nDepartment of Emergency Medicine, Naval Medical Center, Portsmouth, Virginia","department":"None"},{"first_name":"Amy","middle_name":"","last_name":"Pritchard","name_suffix":"","institution":"DO\nDepartment of Emergency Medicine, Naval Medical Center, Portsmouth, Virginia","department":"None"}],"date_submitted":"2012-01-08T07:43:32Z","date_accepted":"2012-01-08T07:43:32Z","date_published":"2012-11-15T00:01:09Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7284/galley/4345/download/"}]}