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[Frontal sinus pathology and epilepsy].

C Duvillard1, E Gazzano, H Lecomte

  • 1Service d'otorhinolaryngologie, de chirurgie cervicofaciale et de phoniatrie, hôpital Général, 3 rue du Faubourg-Raines, BP 1519, 21033 Dijon cedex, France. christian.duvillard@chu-dijon.fr

Annales D'Oto-Laryngologie Et De Chirurgie Cervico Faciale : Bulletin De La Societe D'Oto-Laryngologie Des Hopitaux De Paris
|May 4, 2007
PubMed
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Frontal sinusitis can lead to epilepsy due to posterior sinus wall erosion. Prompt surgical intervention and treatment are crucial for recovery and preventing further complications.

Area of Science:

  • Otolaryngology
  • Neurology
  • Neurosurgery

Background:

  • Frontal sinusitis, an infection of the frontal sinus, can lead to severe complications due to the sinus's anatomical location and delicate physiology.
  • While orbital sepsis, meningitis, and cerebral abscess are known complications, epilepsy is a less common but significant consequence.

Observation:

  • This report details two cases of patients presenting with generalized epilepsy seizures.
  • CT scans revealed frontal sinus opacification and posterior wall lysis in both individuals.

Findings:

  • Surgical exploration identified a purulent collection in one patient and an infected cholesteatoma in the other.
  • Both patients exhibited nasofrontal canal stenosis and posterior sinus wall lysis with exposed dura mater.
  • Surgical management involved sinus cleaning, cholesteatoma removal, nasofrontal canal calibration, and antibiotic/antiepileptic treatment.

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Implications:

  • Epilepsy can be a direct consequence of frontal sinusitis, particularly when posterior wall erosion exposes the dura mater.
  • While not indicative of an endocranial complication, epilepsy necessitates thorough investigation for underlying sinusitis.
  • Prompt diagnosis and surgical management of frontal sinusitis with posterior wall erosion are vital for resolving epilepsy and preventing recurrence.