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A ‘silent’ intracranial complication of frontal sinusitis

Published online by Cambridge University Press:  29 June 2007

S. Daya
Affiliation:
(Swindon)
S. S. To*
Affiliation:
(Swindon)
*
Mr S. S. To, ENT Department, Princess Margaret Hospital, Okus Road, Swindon, Wilts SN1 4JU

Abstract

Intracranial complications of frontal sinusitis, although rare today, do still develop despite widespread use of antibiotics. We report a case which demonstrates how silently a frontal lobe abscess may present with subtle changes in mood and behaviour, with no focal neurological signs. Diagnosis and management are discussed and a brief review of the incidence of intracranial complications of frontal sinusitis, mode of spread, clinical presentation, investigations, treatment and bacteriology is presented.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1990

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References

Arseni, C., Ciurea, A. V. (1982) Rhinogenic cerebral abscesses. Zentralblatt Fur Neurochirugie, 43(2): 129142.Google ScholarPubMed
Bluestone, C. D., Steiner, R. E. (1965) Intracranial complications of acute frontal sinusitis. Southern Medical Journal, 58: 110.Google Scholar
Buchheit, W. A., Ronis, M. L., Liebman, E. (1970) Brain abscesses complicating head and neck infections. Transactions American Academy of Ophthalmology and Otolaryngology, 84: 548554.Google Scholar
Day, J. O., Zevallos, C. A. (1984) An intracranial complication of frontal sinusitis–case report. Journal of the Medical Association of Georgia, 73(9): 603604.Google Scholar
Gardiner, L. J. (1986) Complicated frontal sinusitis: evaluation and management. Otolaryngology-Head and Neck Surgery, 95: 333343.Google Scholar
Gil-Carcedo, L. M., Izquierdo, J. M., Gonzalez, M. (1984) Intracranial complications of frontal sinusitis. Journal of Laryngology and Otology, 98: 941945.CrossRefGoogle ScholarPubMed
Grace, A., Drake-Lee, A. (1984) Role of anaerobes in cerebral abscesses of sinus origin. British Medical Journal, 288(6419): 758759.Google Scholar
Heineman, H. S., Braude, A. I. (1963) Anaerobic infection of the brain. American Journal of Medicine, 35: 682686.Google Scholar
Kaplan, R. J. (1976) Neurological complications of infections of the head and neck. Otolaryngologic Clinics of North America, 9: 729749.Google Scholar
Kaugman, D. M., Miller, M. H., Steigbigel, N. H. (1975) Subdural empyema: analysis of 17 recent cases and review of the literature. Medicine, 54: 485498.Google Scholar
Remmler, D., Boles, R. (1980) Intracranial complications of frontal sinusitis. Laryngoscope, 90: 18141824.Google Scholar
Rice, D. H., Fishman, S. M., Barton, R. T., Hutchinson, R., Eichel, B. S. (1980) Cranial complications of frontal sinusitis. American Family Physician, 22(5): 145149.Google Scholar
Sable, N. S., Hengerer, A., Powell, K. R. (1984) Acute frontal sinusitis with intracranial complications. Pediatric Infectious Diseases Journal, 3(1): 5861.Google Scholar
Wenig, B. L., Goldstein, M. N., Abramson, A. L. (1983) Frontal sinusitis and its intracranial complications. International Journal of Pediatric Otorhinolaryngology, 5(3): 285302.Google Scholar