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Scholars Journal of Medical Case Reports | Volume-13 | Issue-03
From Sinus to Brain: Frontal Mucocele Complicated by Intracranial Empyema
M. Boussif, A. Bouelhaz, Y. Bouktib, A. El Hajjami, B. Boutakioute, M. Ouali Idrissi, N. Cherif Guennouni Idrissi
Published: March 27, 2025 |
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DOI: https://doi.org/10.36347/sjmcr.2025.v13i03.047
Pages: 522-526
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Abstract
1. Mucoceles of sinuses are benign, expansile pseudo-cystic lesions that are typically develop slowly and often present with neurological or ophthalmological complications. We report the case of a 20-year-old male with a frontal mucocele exhibiting intracranial extension. The patient presented with a 3-week history of left-sided frontal swelling accompanied by worsening headaches. Computed tomography (CT) confirmed the presence of a frontal mucocele with significant bone erosion and an associated intracranial empyema. Surgical intervention resulted in a favorable outcome with complete resolution of symptoms. Frontal and fronto-ethmoidal mucoceles, although benign, can cause serious complications, including orbital and intracranial involvement if left untreated. Imaging, particularly CT and MRI, plays a vital role in diagnosis, preoperative planning, and post-treatment monitoring. Surgical management is the treatment of choice, with recurrences being rare. Early detection and management are essential for preventing functional and life-threatening complications.