Sinusitis as a cause of insidious headache in a pregnant woman : A case report

© The Author(s) 2020..

BACKGROUND: The incidence of headaches during pregnancy is 35%. Although ruling out pre-eclampsia as a possible cause for headache is important in the pregnant population, acute sinusitis should remain on the differential as it occurs six times more frequently in pregnant women. Untreated disease can lead to rare intracranial complications such as a subdural empyema.Case presentation: 21-year-old female with recurring headaches at 33 weeks of gestation was diagnosed with pre-eclampsia with severe features requiring emergent caesarean section. The woman continued to have altered mental status and focal neurologic deficits after delivery. Computerized tomography head imaging demonstrated a subdural collection discovered to be an empyema due to unilateral acute sinusitis of odontogenic origin.

CONCLUSION: Maintaining a clinical suspicion for acute sinusitis as a cause of headache in a pregnant woman is important for prompt diagnosis and treatment before it develops into a rare intracranial complication.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Obstetric medicine - 14(2021), 4 vom: 01. Dez., Seite 257-259

Sprache:

Englisch

Beteiligte Personen:

Yang, Sara [VerfasserIn]
Han, Jane J [VerfasserIn]
Patadia, Monica [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Empyema
Headache
Pre-eclampsia
Pregnancy
Sinusitis

Anmerkungen:

Date Revised 02.12.2022

published: Print-Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.1177/1753495X20970095

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM334175224