鼻性頭蓋内合併症の3例  [in Japanese] Three Cases of Rhinogenic Intracranial Complications  [in Japanese]

Access this Article

Author(s)

Abstract

We have encountered three cases of rhinogenic intracranial complications in the last two years. Case 1: A 17-year-old male had a subdural abscess secondary to acute sinusitis. He had right eyelid swelling (orbital cellulitis) and a frontal subcutaneous abscess. The transfrontal approach (Killian's method) and endoscopic sinus surgery (ESS) were carried out under general anesthesia. Drainage of the subdural space and 6 sessions of hyperbaric oxygen therapy were performed after the surgery. Case 2: A 14-year-old male had a brain abscess secondary to acute sinusitis. He exhibited severe headache and vomiting. Drainage of the subdural space did not improve the symptoms. He was then treated with ESS 9 days after the drainage. Case 3: An 18-year-old male had meningitis and a subdural abscess secondary to acute sinusitis.<br>He had severe frontalgia and palsy of the left lower leg. ESS was carried out immediately. Hyperbaric oxygen therapy was performed 8 times after the surgery. The subdural abscess disappeared without any neurosurgical drainage. All cases were treated successfully without any complications. Careful observation, prompt diagnosis, and early surgical treatments are required to prevent excessive morbidity and mortality. ESS should be the first choice for the treatment of sinusitis with rhinogenic Intracranial complications.

Journal

  • Practica Oto-Rhino-Laryngologica

    Practica Oto-Rhino-Laryngologica 95(5), 473-479, 2002-05-01

    The Society of Practical Otolaryngology

References:  15

Cited by:  4

Codes

  • NII Article ID (NAID)
    10008382687
  • NII NACSIS-CAT ID (NCID)
    AN00107089
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00326313
  • NDL Article ID
    6154808
  • NDL Source Classification
    ZS43(科学技術--医学--耳鼻咽喉科学)
  • NDL Call No.
    Z19-421
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
Page Top