Periorbital cellulitis with subperiosteal collection and intracranial extension

Case contributed by Dr Jeremy Jones


Headache and fevers for several days. Now eye swelling and redness with raised inflammatory markers and nasal discharge.

Patient Data

Age: 12 years
Gender: Male

Extensive inflammatory change of the paranasal sinuses with a left sided periorbital cellulitis, orbital roof subperiosteal collection and associated breakthrough into the intracranial cavity with an extradural abscess.

Case Discussion

Periorbital cellulitis needs to be investigated thoroughly to identify any associated complications. As with any imaging, finding one complication (the extradural abscess) should not stop the search for other complications - the subperiosteal collection. Both need drained and covered with appropriate antibiotics.

PlayAdd to Share

Case information

rID: 32197
Published: 18th Nov 2014
Last edited: 21st Nov 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.