While sinusitis is a common ailment, intracranial suppurative complications of sinusitis are rare and difficult to diagnose and treat. We present a case of an immunocompetent adolescent male with a subdural empyema who presented with seizures, confusion, and focal arm weakness after a bout of sinusitis.
A seven-year-old male presented with fever, left-sided facial redness, swelling and proptosis over a 24-hour period. He had noted left-sided toothache and rhinorrhea over the preceding week. On presentation, he stated that he was unable to see “anything, including light” from his left eye.