Intracranial Abscesses Secondary to Nasal, Sinus, and Orbital Infections in Adults and Children

Maniglia, Anthony J.; Goodwin, WillardE.; Arnold, James E.; Ganz, Edward

doi:10.1001/archotol.1989.01860360026011

Cited by 146 publications

(102 citation statements)

References 10 publications

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“…[217][218][219][220][221] Sinus disease is the underlying cause of about 10% of intracranial suppuration, 222,223 and is associated with 10% to 90% of periorbital infections. 224 In large epidemiological studies, the overall incidence of complications ranged from 3 per million individuals per year in the Netherlands, 225 to 2.7 to 4.3 per million children per year in the United States (intracranial), 226 to 2.5 per million of population per year in France.…”

Section: Ve Ars: Complicationsmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

554

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Section: Ve Ars: Complicationsmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

554

888

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“…Clinical presentation and the disease course depend on the site of intracranial infection [10] . The adult case had a subdural empyma, a common intra cranial complication of sinusitis as mentioned in the series [11,12,13] and in the child case it was the epidural abscess, commonly seen as in the series [8,14,15] . In a study [7] of 23 patients of ICS, as per CT scan there were subdural empymas (11 cases), extradural empymas (7 cases) and brain abscesses (5 cases).…”

Section: Discussionmentioning

confidence: 94%

Complications of Sinusitis, Management with Limited Resources-: A Report of Two Cases with a Review of the Literature

Sharma¹,

Internationals²

2017

IJNBD

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Unusual clinical presentations of intra cranial suppurative complication of sinusitis make it difficult to be to be diagnosed and make it a challenging task. Even in present time this pathology is known to produce significant morbidity and mortality. A short review of the literature on ICS has been done with our experience of two cases who had varying clinical presentations and inspite of their management with limited available resources, both the cases recovered fully with limited morbidity. The first case, a 12 years old boy had no clinical evidence of sinusitis but had high fever, signs of increased intra cranial pressure, orbital cellulites and abscesses on left upper eye lid and on same side of forehead. The CT scan revealed Fronto-Maxillary sinusitis, periorbital cellulites, lid and forehead abscesses along with oedema in brain for which an external Fronto-Ethmoido-Maxillary antrostomy [Lynch-Howarth operation] was done along with drainage of extra cranial abscesses in the eyelid and forehead.The second case, a 21 years old female, known to have nasal allergies had a high fever, right eye congested and proptosed and had signs of increased ICP. The CT and MRI revealed that she had a subdural empyma, Frontal sinusitis and a periorbital Cellulites. The subdural empyma was drained by a neuro-surgeon and the sinus abscesses were drained [Lynch Howarth operation] by an Otolaryngologist, at the same time. Both the patients recovered in 4 to 6 week. In conclusion, the diagnosis of ICS requires a high index of suspicion and early radiographic imaging [CT/MRI] of the head and paranasal sinuses. An aggressive medical therapy is indicated and it may require drainage of the sinus abscess and the intra cranial abscess, at the same time.

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“…9) Intracranial complications from SPA are associated with mortality rates of 50% to 80%. 10,14) Cavernous sinus thrombosis associated with orbital SPA may originate from septic thrombophlebitis arising in the ophthalmic vein. 1) MR imaging shows thrombophlebitis of the superior ophthalmic vein as an enlarged vein that appears less hypointense than the contralateral normal ophthalmic vein.…”

Section: Discussionmentioning

confidence: 99%

Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

Nakamura

Kawamata

Kobayashi

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 64-year-old woman presented with a very rare case of three infectious lesions, cavernous sinus thrombophlebitis, clival inflammation, and orbital subperiosteal abscess (SPA), manifesting as abducens palsy. An isolated non-specific mass in upper clivus was initially suspected to be derived from paranasal sinusitis. The clival lesion was approached by an endonasal transsphenoidal route and diagnosed as inflammation. However, progressive enlargement of an orbital mass was recognized, with eyelid erythema and swelling. Magnetic resonance imaging showed massive paranasal sinusitis and an intra-orbital mass, which was proved to be an orbital SPA by open surgery. Cavernous sinus thrombophlebitis might have been caused by primary paranasal sinusitis, and the origin of orbital cellulitis was suspected to be cavernous sinusitis based on the preoperative radiological findings. These unusual lesions should be kept in mind as one of the differential diagnoses.

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Intracranial Abscesses Secondary to Nasal, Sinus, and Orbital Infections in Adults and Children

Cited by 146 publications

References 10 publications

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Complications of Sinusitis, Management with Limited Resources-: A Report of Two Cases with a Review of the Literature

Clival Inflammation With Cavernous Sinus Thrombophlebitis and Orbital Subperiosteal Abscess -Case Report-

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