Pansinusitis with subdural empyema in an adult: a rare entity

We report a case of an elderly diabetic woman who presented to emergency department with sudden right sided body weakness. On imaging she had subdural empyema complicating acute rhinosinusitis. Evacuation of emphysema and endoscopic sinus surgery resulted in full neurological recovery. Clinician must have a high index of suspicion of possible intracranial suppurative complication as its often manifest as nonspecific clinical presentation in elderly diabetic patients with acute rhinosinusitis, despite improvements in antibiotic therapies