Abstract

Sphenoid sinusitis is a rare condition which is seldom complicated by severe cranial complications that may cause of severe headache. We describe a 12-year-old girl presenting headache. She was found to have sphenoid sinusitis accompanied by an epidural abscess in the left middle cranial fossa and the left masticator space. Her symptoms and signs improved after prompt treatment with antibiotics and endoscopic drainage. Sphenoid sinusitis with intracranial complication should be included in the differential diagnosis of patients with only severe headache.