Related Experiment Videos
[2 cases of rhinogenic intracranial complications with normal rhinoscopy]
1Teikyo University School of Medicine, Department of Otorhinolaryngology, Tokyo, Japan.
Abstract:
Two cases of non-postoperative rhinogenic intracranial complications are reported: patient 1 was a 25-year-old female with meningitis and right orbital phlegmon, and patient 2 was a 21-year-old male with a brain abscess. Main symptoms in these patients were meningeal signs and high fever, and intranasal findings were normal in both patients. The diagnosis was not made until computed tomography revealed paranasal abnormalities. Soon after surgical intervention and treatment with large doses of antibiotics. These patients were completely cured of intracranial complications. It should be beared in mind that rhinogenic intracranial complications with lack of intranasal abnormal findings, as in these patients, can exist even today.
Insights
Rhinogenic intracranial complications, such as meningitis and brain abscess, can occur without obvious nasal symptoms. Early diagnosis via computed tomography and prompt treatment are crucial for complete recovery.
Area of Science:
- Neurology
- Otolaryngology
- Infectious Diseases
Background:
- Rhinogenic intracranial complications are infections spreading from the nasal cavity to the brain.
- These complications can be severe, leading to conditions like meningitis and brain abscess.
- Diagnosis can be challenging, especially when initial intranasal findings are normal.
Observation:
- Two cases of non-postoperative rhinogenic intracranial complications were reported: a 25-year-old female with meningitis and orbital phlegmon, and a 21-year-old male with a brain abscess.
- Both patients presented with meningeal signs and high fever, but had normal intranasal findings.
- Computed tomography (CT) was essential in revealing underlying paranasal abnormalities.
Findings:
- Computed tomography identified paranasal abnormalities as the source of infection in both cases.
- Surgical intervention combined with high-dose antibiotics led to complete resolution of intracranial complications.
- The cases highlight that rhinogenic intracranial complications can occur even with seemingly normal nasal passages.
Implications:
- Clinicians should consider rhinogenic intracranial complications in patients with unexplained neurological symptoms, even without nasal abnormalities.
- Advanced imaging like CT is vital for accurate diagnosis.
- Prompt surgical and antibiotic treatment is effective in managing these serious conditions.