Brain abscess secondary to paranasal sinusitis

Bradley, Patrick J.; Manning, K. P.; Shaw, M. D. M.

doi:10.1017/s0022215100147334

Cited by 72 publications

(54 citation statements)

References 14 publications

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“…Among these, the intracranial complications of sinusitis (ICS) are particularly challenging conditions. They have been reported in 0.5% to 24% of patients hospitalized with sinusitis, 1,2 with a 3% incidence in pediatric admissions with sinusitis. 3 By some estimates, sinusitis has replaced otitis media as the leading cause of intracranial abscesses.…”

Section: Discussionmentioning

confidence: 99%

“…Fortunately, the incidence of ICS has declined considerably in recent decades with improvements in the diagnosis and management of sinusitis. 1 This review, to our knowledge the largest pediatric series to date, suggests that outcomes can be favorable in children with prompt diagnosis and aggressive treatment.…”

Section: Commentmentioning

confidence: 95%

“…For many decades, subdural empyema or intracerebral abscess were accepted as being the most common. 1,2,5,6,8,10,12 Recently, however, epidural abscesses have become the predominant type of ICS in several series. 3,9,[13][14][15][16] Likewise, in our series, epidural abscess was the most common complication, occurring in 52% of our patients.…”

Section: Commentmentioning

confidence: 99%

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Intracranial Complications of Sinusitis in Children and Adolescents and Their Outcomes

Germiller¹,

Monin²,

Sparano³

et al. 2006

Arch Otolaryngol Head Neck Surg

191

166

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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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Section: Discussionmentioning

confidence: 99%

Section: Commentmentioning

confidence: 95%

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Intracranial Complications of Sinusitis in Children and Adolescents and Their Outcomes

Germiller¹,

Monin²,

Sparano³

et al. 2006

Arch Otolaryngol Head Neck Surg

191

166

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“…Data collection for these studies was performed via theatre or post-mortem records. 3,4 Results Two hundred and twenty-eight patients with a coding of brain abscess were admitted to the Walton Centre for Neurology and Neurosurgery, Liverpool, UK, between 1 January 1980 and 31 December 2004. Of these 228 patients, notes were obtained for 196 cases.…”

Section: Methodsmentioning

confidence: 99%

“…3,4 These papers by Bradley et al allow us to analyse changes in the disease and its outcomes between the two time periods (Table VI).…”

Section: Comparison With Clinical Data From 1950 -1979mentioning

confidence: 99%

Changing trends in intracranial abscesses secondary to ear and sinus disease

2008

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Objectives: To review the management, causative organisms, morbidity and mortality of intracranial abscesses secondary to sinus and ear disease.Study design and setting: Retrospective, case note review of suppurative intracranial complications of ear and sinus disease in patients admitted to a regional neurosurgical centre between 1980 and 2004. These data were compared with published material from the same region from 1950 -1979.Results: There was a marked reduction in the mortality rate and the number of intracranial abscesses secondary to chronic ear disease, comparing the two time periods. However, there was little change in the percentage of sinus-related abscesses treated and in their symptoms, signs, abscess location and long term morbidity. Microbiology results showed that streptococcal species predominated as causative organisms, with a high percentage of anaerobic bacteria in otogenic abscesses.Conclusion: Despite improved outcomes, a high index of suspicion for intracranial complications of ear or sinus disease should be maintained in the presence of appropriate signs and symptoms.

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