Intracranial complications of sinusitis: the need for aggressive management

Jones, Rebecca; Violaris, N. S.; Chavda, S. V.; Pahor, A. L.

doi:10.1017/s0022215100132025

Cited by 40 publications

(22 citation statements)

References 8 publications

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“…The S. milleri group consists of three similar viridans Streptococci species (S. anginosus, S. intermedius and S. constellatus), which are part of the normal oro-and nasopharyngeal flora. S. milleri has previously been cited as a common cause of sinogenic abscess [28,29], and a recent multi-centre study of intracranial abscesses of all causes in children over a 10-year period cited S. milleri as the most common causative organism [19].…”

Section: S Milleri Group and Antibiotic Therapymentioning

confidence: 99%

Management and outcomes in children with sinogenic intracranial abscesses

Patel¹,

Masterson²,

Deutsch³

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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Section: S Milleri Group and Antibiotic Therapymentioning

confidence: 99%

Management and outcomes in children with sinogenic intracranial abscesses

Patel¹,

Masterson²,

Deutsch³

et al. 2015

International Journal of Pediatric Otorhinolaryngology

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“…Mortality rates of 10% to 20% or higher are commonly reported, even within the last decade, 1,5,6 although rates under 10% have been reported in several recent series. [7][8][9][10] However, long-term neurologic deficits, such as hemiparesis, aphasia, epilepsy, hydrocephalus, and visual deficits, remain common, occurring in 13% to 35% of survivors, and hospital stays of 15 to 30 days are typical. 3,[8][9][10] Few studies have specifically addressed whether morbidity and mortality is influenced by specific type of intracranial complication, and pediatric data to date have been limited.…”

Section: Arch Otolaryngol Head Neckmentioning

confidence: 99%

Intracranial Complications of Sinusitis in Children and Adolescents and Their Outcomes

Germiller¹,

Monin²,

Sparano³

et al. 2006

Arch Otolaryngol Head Neck Surg

181

164

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To gain insight into patterns of presentation, imaging, microbiological aspects, therapy, disease course, and outcome of intracranial complications of sinusitis (ICS), which are challenging conditions with the potential to cause significant morbidity and mortality. We reviewed our experience with ICS in children and adolescents.Design: Consecutive case series with a mean follow-up of 12 months. Setting: Tertiary pediatric referral center. Patients: Consecutive sample of 25 children and adolescents treated for 35 intracranial complications (mean age, 13.2 years [range, 4-18 years]). Interventions: Medical and surgical management. Main Outcome Measures: Survival and temporary and permanent neurologic sequelae.Results: Most patients were adolescents (n=19; 76%) and male (n=19; 76%). Epidural abscess was most common (13 complications), followed by subdural empyema (n=9),

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“…Genel olarak bu tip kompliksayonlar frontal sinüzite bağlı gelişmekle birlikte, etmoidal ya da maksiler sinüzitler sonucunda da görülebilmektedir (1,4).…”

Section: Discussionunclassified

Preseptal Cellulitis and Subdural Empyema as a Complication of Frontal Sinusitis

Bayram¹,

Vardar²,

Yurtseven³

et al. 2010

J Pediatr Inf

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ÖzetAkut bakteriyel sinüzit komplikasyonu olarak orbital ya da periorbital selülit, epidural, subdural ya da beyin absesi gelişebilmektedir. Görüntüleme yöntemleri ve tedavilerindeki gelişmelere rağmen, subdural ampiyem nedeniyle yüksek mortalite ve morbidite bildirilmektedir. Subdural ampiyem acil beyin cerrahisi ameliyatlarındandır. Ancak, uygun ve etkili antibiyotik tedavisi ile birlikte hastanın yakın olarak izlenmesi sonucunda, invazif cerrahi girişimlere gerek olmadan düzelebildiği bildirilmektedir. Bu hastalarda erken tanı ve uygun tedavi (gerekirse cerrahi girişim) ile mortalite oranları azalabilmektedir. Burada, frontal sinüzite sekonder periorbital selülit ve subdural ampiyem gelişen, cerrahi girişim uygulanmadan antibiyotik tedavisi ile düzelen 12 yaşında erkek hasta sunulmaktadır. (Çocuk Enf Derg 2010; 4: 79-81) AbstractAcute bacterial sinusitis in children can be complicated by orbital or periorbital cellulitis, and epidural, subdural, or brain abscesses. Despite advances in imaging and the availability of antibiotics, subdural empyema remains a disease process that carries significant morbidity and mortality. Subdural empyema is usually accepted as a neurosurgical emergency that requires drainage. However, prompt initiation of proper antibiotics with close observation and followup of the patient saves the patient from invasive cranial and sinus surgery and their potential complications. Early diagnosis and proper treatment (including surgery where needed) decrease mortality in patients with this disease. We report a 12 years old male patient who developed periorbital cellulitis and left sided subdural empyema and was healed by prompt institution of proper antibiotics without surgery. (Çocuk Enf Derg 2010; 4: 79-81)

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Intracranial complications of sinusitis: the need for aggressive management

Cited by 40 publications

References 8 publications

Management and outcomes in children with sinogenic intracranial abscesses

Management and outcomes in children with sinogenic intracranial abscesses

Intracranial Complications of Sinusitis in Children and Adolescents and Their Outcomes

Preseptal Cellulitis and Subdural Empyema as a Complication of Frontal Sinusitis

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