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Papilloedema secondary to acute purulent sinusitis
R K Kumar1, M Ghali, F Dragojevic
1Department of Paediatrics and Child Health, University of Tasmania, North-west Regional Hospital, Burnie, Australia. R.Kumar@utas.edu.au
Insights
Intracranial complications from sinusitis are rare in children. This study highlights two unusual cases of sinusitis presenting with papilledema, a previously unreported complication.
Area of Science:
- Pediatrics
- Neurology
- Otolaryngology
Background:
- Upper respiratory tract infections and sinusitis are common pediatric conditions.
- Intracranial complications of sinusitis are rare and often present subtly in children.
Observation:
- This report details two pediatric cases of sinusitis with unusual clinical presentations.
- Papilledema, a swelling of the optic disc, was observed secondary to purulent sinusitis.
Findings:
- Papilledema as a complication of purulent sinusitis in children is a previously unreported finding.
- These cases demonstrate atypical manifestations of sinusitis in pediatric patients.
Implications:
- Highlights the importance of considering rare intracranial complications in pediatric sinusitis.
- Suggests that papilledema may be an unrecognized sign of sinusitis in children.
- Emphasizes the need for thorough evaluation of children with sinusitis, even with subtle symptoms.
Abstract:
Upper respiratory tract infections and sinusitis are common, but intracranial complications of sinusitis are rare in children and are often clinically unremarkable. Papilloedema secondary to purulent sinusitis is a complication previously not reported. We report two cases to highlight atypical manifestations of sinusitis in children.