Orbito cerebral complications of poly sinusitis

Abstract

Intra -orbital and brain abscesses are rare but severe complications of poly sinusitis. These attacks are often unilateral. We reported a case of bilateral intra-ocular damage of a 65-year-old male with a history of purulent rhinitis lasting for three months and who presented a significant chemosis and painful axile breathless in both eyes associated with an infectious syndrome. The orbito frontal brain’s CT scan noted a pansinusitis complicated bilateral intra-orbital abscess and empyema brain. The triple antibiotic probabilistic led to transient improvement of symptoms, but hyperthermia persisted for three weeks. The interest of this case lies in the scarcity of bilaterality of orbital complications associated with cerebral empyema of sinus origin, the importance of CT in the accurate diagnosis of the disease and therapeutic difficulties.