Pneumocephalus as a Rare Presentation of Acute Sinusitis with Intracranial Extension – Two Cases and a Review of Literature

Abstract

Pneumocephalus is a rare presentation of sinusitis. The purpose of this case series and literature review is to highlight the critical importance of recognizing pneumocephalus on initial brain imaging, since it may serve as the first sign of acute sinusitis with intracranial complication. Although sinusitis is a treatable condition with appropriate and timely antibiotic therapy, failure to recognize intracranial extension and delays to prompt surgical drainage could lead to a dire clinical course.

First Report of Pneumocephalus, Meningitis and Epidural Abscess Associated With Sphenoid Sinusitis in Pediatric Age Group

“…4 Therefore, the presence of pneumocephalus on a brain CT is crucial as it could be the only sign of a serious clinical course. 5 Clinicians should be cautious when dealing with pneumocephalus and sinusitis as it could indicate more severe complications such as meningitis and abscess formation.…”

“…4 Therefore, the presence of pneumocephalus on a brain CT is crucial as it could be the only sign of a serious clinical course. 5 Clinicians should be cautious when dealing…”