Intracranial complications of sinusitis

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Published Jun 10, 2011
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Vol. 89 No. 6 (2011): Issue Jun 2011

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Salima Kharrat
Samia Sahtout
Rim Zainine
Ines Dridi
Safa Temimi
Najeh Beltaief
Ghazi Besbes

Abstract

Background: Intracranial complications of sinusitis are always a subject of actuality. They present diagnostic and therapeutic problems.
Aim: To study the clinical characteristics and treatment modalities for intracranial complications of sinusitis while insisting on their severity.
Methods: Retrospective study concerning 7 patients who had intracranial complications secondary to sinusitis.
Results: Our study was about 3 men and 4 women. The mean age of patients was 24 years. Neurologic signs were the most common symptoms. The diagnosis was confirmed by CT scan and lumbar puncture. The different complications were empyema in 5 cases and meningitis in 2 cases. Treatment included parenteral antibiotic therapy and surgery. The neurosurgical management has been achieved in 3 cases. Control was obtained in 4 cases, the mean receding was 18 months.
Conclusion: Intracranial complications of sinusitis must be evoked, especially in cases of febrile headache or facial oedema. CT scan must be realized in slightest doubt. The treatment must be started precociously allowing a cure without after-effects.

Keywords:

Sinusitis, Intracranial complications

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