Central nervous system complications secondary to rhinosinusitis: a case report

Case presentation: A previously healthy 12 year-old male presented to our tertiary emergency care with classic meningoencephalitis symptoms and paraparesis, urinary retention, facial nerve palsy, lagophtalmos, abducens nerve palsy, oculomotor nerve palsy and hypoesthesia secondary to sinusitis complications. These were intracranial lesions, multiple ischemic subcortical areas and myelitis. The diagnosis was made through clinical examination, imaging tests and laboratory tests of blood and cerebrospinal fluid, including serology and cultures. Treatment was intravenous antibiotic, steroids, anticoagulants, nasoendoscopic surgery and rehabilitation therapies.