Revista Ciencia y Salud https://revistacienciaysalud.ac.cr/ojs/index.php/cienciaysalud <p>Revista cientifica de la Universidad de Ciencias Médicas UCIMED, San José Costa Rica</p> es-ES <p><a href="http://creativecommons.org/licenses/by-nc-nd/3.0/" rel="license"><img src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" alt="Creative Commons License"></a><br>This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. The authors keep the copyright and publication rights in the journal the right of the first publication and this possibility to edit, reproduce, distribute, expose and publicly communicate on the magazine's website. Likewise, it assumes the commitment on any litigation or claim related to the rights of intellectual property, exonerating of responsibility to the Science and Health Magazine of the UCIMED. In addition, you can see how they are published in this journal (eg, Include in an institutional repository or publish it in a book) as long as they clearly indicate the work published for the first time in the magazine Science and Health of the UCIMED.</p> editorcys@ucimed.com (Sebastian Ospina Henao) valverdeml@icimed.cr (Liza Valverde Martín) Fri, 13 Sep 2024 08:02:04 -0600 OJS 3.3.0.10 http://blogs.law.harvard.edu/tech/rss 60 Subdural empyema as a result of complicated sinusitis in a pediatric patient https://revistacienciaysalud.ac.cr/ojs/index.php/cienciaysalud/article/view/813 <p><strong>Introduction:</strong> synogenic subdural empyema is a suppurative infection that forms in the space between the dura mater and the arachnoid membranes. It is a rare entity, so it is important to maintain the level of alert in the face of neurological focalities, associated with the failure to improve headache symptoms with the usual medication. <strong>Case presentation:</strong> adolescent patient, male, mixed-race, 11 years old, urban origin, with a history of recurrent kidney stones who, two weeks after being discharged from an admission for left maxillary and ethmoidal sinusitis, was readmitted with symptoms of headache. oppressive, constant character, of moderate to great intensity, holocranial, with occasional vomiting, fever in figures of 39-40 degrees Celsius, difficult to control, drowsiness, two generalized tonic-clonic convulsive events, total right hemiparesis, direct, predominantly crural and Babinski sign on that side. It was decided to perform a simple single-slice skull tomography, contrast-enhanced skull tomography and a nuclear magnetic resonance, diagnosing subdural empyema. An emergency surgical alternative was decided with favorable postoperative recovery. <strong>Conclusions:</strong> subdural empyema has been described as one of the most urgent neurosurgical emergencies. Its effective diagnosis is nuclear magnetic resonance as the best option. The case in question served to demonstrate the need to deepen the knowledge about subdural empyema as a complication of sinusitis, highlighting the management to be carried out in its presence as a means of learning for health personnel.</p> Christian José Arencibia Pagés, Elián Velázquez Carmenate, Jorge Enrique Mendoza Paret, Mirtha María Medina Matos Copyright (c) 2024 Christian José Arencibia Pagés, Elián Velázquez Carmenates, Jorge Enrique Mendoza Paret, Mirtha María Medina Matos http://creativecommons.org/licenses/by-nc-nd/4.0 https://revistacienciaysalud.ac.cr/ojs/index.php/cienciaysalud/article/view/813 Fri, 13 Sep 2024 00:00:00 -0600