Subdural Abscess Complicating Frontal Sinusitis

Management Strategy of Intracranial Complications of Sinusitis: Our Experience and Review of the Literature

“…Analysis of the literature shows that before the antibiotic's era, mortality from ICS was very high. 48,49 Thanks to the new imaging methods (CT and MRI), the use of the nextgeneration antibiotics, the perfectioning of the sinus surgery skills (FESS), the development of surgical skull-base approaches and the use of neuronavigation system all played a significant role in decreasing mortality rates, which are currently between 7% and 15%. 17,23,46,50,51 Our cohort represents almost all known types of ICS.…”

Simultaneous treatment of intracranial complications of paranasal sinusitis

“…Analysis of the literature shows that without the administration of antibiotics in intracranial complications of sinusitis, mortality was very high (80–100%) [ 23 – 25 ]. The use of next-generation antibiotics, new imaging methods (MRI and CT), the perfection of sinus surgery techniques (FESS), the development of surgical methods for the base of the skull and the use of neuronavigation all played a significant role in decreasing mortality rates, which are currently between 7 and 15% [ 3 , 6 , 8 , 9 , 26 – 28 ].…”

Sinogenic intracranial complications

“…On the other hand sinusitis is the most frequent cause of subdural empyema with Wood (1952) and Sable et al (1984) reporting sinusitis as the cause in 82 per cent of patients, Schiller et al (1948) and Bannister et al (1981) 69 per cent, Bhandari and Sarkari (1970) 54 per cent, Hoyt and Fisher (1991) 53 per cent. The mortality from subdural empyema in the preantibiotic era was 100 per cent (Kubik and Adams, 1943;Ray and Parsons, 1943;Courville, 1944). With the introduction of antibiotics, the mortality decreased, but has remained high, ranging between 30 and 40 per cent (Wood, 1952;Hitchcock and Andreadis, 1964;Bhandari and Sarkari, 1970;Farmer and Wise, 1973;Kaufman et al, 1975).…”

“…Purulent sinusitis can be considered a life-threatening disease because of the intracranial complications associated with it. In the pre-antibiotic era, the mortality from intracranial sepsis was between 80 and 100 per cent (Kubik and Adams, 1943;Ray andParsons, 1943, Courville, 1944;Ballantine and White, 1953). With the introduction of antibiotics, the mortality halved, but remained high, ranging between 27 and 53 per cent (Jooma et al, 1951;Wright and Ballantine, 1967;Garfield, 1969).…”