Intracranial complications (CIC) of rhinosinusitis are the extension of the infectious process to adjacent structures, occurring in a small number of patients, but with a high morbidity and mortality rate, requiring rapid recognition. Epidural abscess is a rare but important suppurative infection of the central nervous system (CNS). Abscesses that are enclosed within the bony confines of the skull or spinal column can expand to compress the brain or spinal cord and cause severe symptoms and permanent complications. The key to diagnosis is to consider this rare condition then to perform a physical examination followed by appropriate imaging. Magnetic resonance imaging (MRI) usually provides more information than computed tomography and Successful treatment of an IEA usually requires a combination of a drainage procedure and antibiotic therapy.