The prevalence of intracranial complications in pediatric frontal sinusitis

Hakim, Hamdy El; Malik, Anita C.; Aronyk, Keith; Ledi, Edmund; Bhargava, Ravi

doi:10.1016/j.ijporl.2006.02.003

Cited by 66 publications

(44 citation statements)

References 23 publications

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“…261,262 There is evidence that combined drainage of the paranasal sinuses can be performed endoscopically. 259,263 Pathogens most commonly involved in the pathogenesis of intracranial complications are Streptococcus and Staphylococcus species and anaerobes.…”

Section: Ve2 Ars Complications: Intracranial Complicationsmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

558

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Section: Ve2 Ars Complications: Intracranial Complicationsmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

558

888

View full text Add to dashboard Cite

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“…This connection between the extra-and intracranial venous systems may account for the transmission of infection through a retrograde thrombophlebitis. 3,36,40,70 Furthermore, meningitis is an underlying cause of intracranial abscesses in 12-36% of cases, particularly in infants and toddlers. 19,27,84,108 Penetrating head injuries also make children susceptible to intracerebral abscess formation, because retained debris and/or bone fragments can serve as a nidus of infection.…”

mentioning

confidence: 99%

Management of brain abscesses in children

Frazier¹,

Ahn²,

Jallo³

2008

FOC

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✓ Brain abscesses occur infrequently but continue to be problematic for the pediatric neurosurgical community. The incidence of brain abscesses in children has not changed much, although individual reports may show an increase or decrease in the number of reported cases depending on the patient population studied. An increase could be attributed to earlier detection due to advancements in imaging modalities and/or to an increase in the number of children with immunodeficient states caused by AIDS, chemotherapy for malignant lesions, and immunosuppressive therapy for organ transplantation. A decrease in the incidence of brain abscesses could be attributed to practices such as antibiotic treatment for otitis media, sinusitis, and/or prophylactic antimicrobial treatment for congenital heart disease in children. The morbidity and mortality rates associated with brain abscesses have not changed dramatically in the antibiotic and imaging era, and their preferred management can vary among healthcare providers. These lesions have been successfully treated by neurosurgeons. The causes of brain abscesses are highly variable in children, which is also the case in adults, but the predisposing factors in the pediatric population differ in prevalence. Cyanotic congenital heart disease, hematogenous dissemination, contiguous infection, and penetrating traumatic injuries are the most common causes of brain abscesses in children. In this review, the authors discuss the causes and medical and surgical management of brain abscesses in children.

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“…Other routes of infection are iatrogenic (that is, postsurgical) or contiguous spread from infected paranasal sinus or dental infection. 2,6,[9][10][11][12]18,20 Absence of a clear source of infection is reported in as many as 40% of cases. 14,15 Brain abscess following ischemic and hemorrhagic stroke is a rare entity.…”

Section: Discussionmentioning

confidence: 99%

Brain abscess formation at the site of intracerebral hemorrhage secondary to central nervous system vasculitis

Dashti¹,

Baharvahdat²,

Sauvageau³

et al. 2008

FOC

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✓ Brain abscess is a rare but very dangerous neurosurgical lesion. Prompt diagnosis and emergency surgical evacuation are the hallmarks of therapy. Brain abscess following ischemic and hemorrhagic stroke is a rare entity. These cases are often preceded by episodes of bacteremia, sepsis, and local infection. The authors report the case of a 30-year-old woman who presented with a cerebral abscess at the site of a recent intraparenchymal hemorrhage.

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The prevalence of intracranial complications in pediatric frontal sinusitis

Cited by 66 publications

References 23 publications

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Management of brain abscesses in children

Brain abscess formation at the site of intracerebral hemorrhage secondary to central nervous system vasculitis

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