Brain abscess associated with ethmoidal sinus osteoma: A case report

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Presentation transcript:

Brain abscess associated with ethmoidal sinus osteoma: A case report Hiroaki Nagashima, Hideo Aihara, Takashi Tashiro, Eiji Kohmura Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Volume 1, Issue 4, Pages 97-100 (December 2014) DOI: 10.1016/j.inat.2014.09.004 Copyright © 2014 The Authors Terms and Conditions

Fig. 1 Computed tomography (CT) scans with bone windows on admission showing a bony mass lesion arising from the left ethmoidal sinus and extending into the intracranial space. The left nasofrontal duct was obstructed by the bony mass (Fig. 1c arrow). a, b: Axial image bone window, c: coronal image bone window. d: Axial gadolinium (Gd) T1-weighted magnetic resonance image showing the ring-enhancing mass lesion in the left frontal lobe. e: Sagittal Gd T1-weighted magnetic resonance image showing the ring-enhancing mass lesion in the frontal lobe. f: The mass had a hyperintense signal on diffusion-weighted imaging. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2014 1, 97-100DOI: (10.1016/j.inat.2014.09.004) Copyright © 2014 The Authors Terms and Conditions

Fig. 2 a: The axial plane CT after the first operation (drainage procedure). The abscess was drained. b: The axial plane CT before the second operation (craniotomy). The abscess had enlarged. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2014 1, 97-100DOI: (10.1016/j.inat.2014.09.004) Copyright © 2014 The Authors Terms and Conditions

Fig. 3 Photomicrograph of the tumor showing an osteoma consisting of a proliferation of mainly laminar bone (hematoxylin and eosin stain, original magnification×100). Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2014 1, 97-100DOI: (10.1016/j.inat.2014.09.004) Copyright © 2014 The Authors Terms and Conditions

Fig. 4 a: Postoperative sagittal CT image. The osteoma and brain abscess were removed. The frontal base was cranialized and the defect was packed with a pericranial flap. b: Postoperative axial T1-weighted magnetic resonance image showing no evidence of a brain abscess. c: Postoperative axial Gd T1-weighted magnetic resonance image showing no evidence of a brain abscess. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2014 1, 97-100DOI: (10.1016/j.inat.2014.09.004) Copyright © 2014 The Authors Terms and Conditions