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Otolaryngology · Neurology · Emergency Medicine

Acute Frontal Sinusitis Complicated by Subdural Empyema and Seizure: Diagnostic Flowchart

Type FlowchartStandard Sugiyama layered DAG + orthogonal routingEngine schematex-flowchartUpdated 9/28/2026
Acute Frontal Sinusitis Complicated by Subdural Empyema and Seizure: Diagnostic Flowchart
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The scenario

A patient presents with acute frontal sinusitis and new neurologic symptoms such as seizure, severe headache, or altered mental status. The flowchart guides identification of intracranial complications, especially subdural empyema.

What is in this drawing

Read the decisions behind it.

01

Whether concerning neurologic signs or symptoms are present

02

Whether contrast-enhanced imaging identifies an intracranial complication

03

Whether lumbar puncture is safe when no intracranial lesion is seen

04

Whether surgical drainage is indicated for the identified complication

Use when evaluating a patient with sinusitis and suspected intracranial extension, especially in emergency or inpatient settings.

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