A Case of Rhinogenic Intracranial Complications

• Kitamura Koichi

  Department of Otorhinolaryngology, Tokyo Medical University

• Otsuka Koji

  Department of Otorhinolaryngology, Kosei Central Hospital

• Takada Daisuke

  Department of Otorhinolaryngology, Kosei Central Hospital

• Araki Susumu

  Department of Otorhinolaryngology, Tokyo Medical University

• Suzuki Mamoru

  Department of Otorhinolaryngology, Tokyo Medical University

Bibliographic Information

Other Title

• 鼻性頭蓋内合併症例

Abstract

We report the case of a 27 year-old female with meningitis and brain abcesses secondary to acute frontal sinusitis. The patient complained of a high fever, headache and nasal discharge. The brain abscess in the frontal lobe was treated with trephination and neurosurgical drainage. At the same time the transfrontal approach and endoscopic sinus surgery were carried out. After drainage the brain abscess reappeared, and trephination and neurosurgical drainage were repeated.<br>Close monitoring by computed tomo—graphy of the intracranial and nasal regions is useful for deciding both the timing of the surgery and the surgical approach. Endoscopic sinus surgery or the transfrontal approach in combination with trephination and neurosurgical drainage is effective therapy for rhinogenical intracranial complications.

Journal

• Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology)

  Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology) 45 (2), 172-176, 2006

  Japan Rhinologic Society

Keywords

• 前頭洞炎
• 髄膜炎
• 脳膿瘍
• 鼻外前頭洞手術
• 小穿頭ドレナージ

Details

• CRID: 1390282679713546880
• NII Article ID: 130003873820
• NII Article ID: 10018227752
• NII Book ID: AN00062865
• DOI: 10.7248/jjrhi1982.45.2_172
• ISSN: 18837077
• ISSN: 09109153
• Web Site: https://search.jamas.or.jp/link/ui/2006318443
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed