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Increased Intracranial Pressure l: Introduction01:14

Increased Intracranial Pressure l: Introduction

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Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component...
31
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

48
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
48
Chronic Pharyngitis01:23

Chronic Pharyngitis

16.9K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
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Increased Intracranial Pressure ll: Pathophysiology01:29

Increased Intracranial Pressure ll: Pathophysiology

43
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins...
43
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

32
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
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Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

4.0K
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
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Related Experiment Video

Updated: May 6, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas

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Cluster headache associated with acute maxillary sinusitis.

Bengt Edvardsson1

  • 1Department of Neurology, Faculty of Medicine, Skane University Hospital, Lund, S-221 85 Sweden.

Springerplus
|October 18, 2013
PubMed
Summary
This summary is machine-generated.

Acute maxillary sinusitis can mimic cluster headache, a primary headache disorder. Prompt neuroimaging, including sinuses, is crucial for diagnosing secondary causes, even with a normal neurological exam, to ensure appropriate treatment.

Keywords:
Acute maxillary sinusitisCluster headacheInfectionSecondarySymptomatic

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Area of Science:

  • Neurology
  • Otolaryngology

Background:

  • Cluster headache is typically a primary headache disorder without identifiable structural pathology.
  • Symptomatic cases of cluster headache have been linked to underlying conditions like tumors, malformations, and infections.
  • The diagnostic evaluation of cluster headache remains a challenge.

Purpose of the Study:

  • To investigate a case where cluster headache symptoms were potentially triggered by acute maxillary sinusitis.
  • To highlight the importance of considering secondary causes in cluster headache presentations.

Main Methods:

  • A case study of a 24-year-old male presenting with symptoms consistent with cluster headache.
  • Diagnostic workup included a low-dose computed tomography scan.
  • Treatment involved antibiotics and sinus puncture for the identified sinusitis.

Main Results:

  • The patient's cluster headache attacks resolved completely after treatment for acute maxillary sinusitis.
  • The resolution of headache post-sinus treatment suggests a causal or triggering relationship.
  • Response to typical cluster headache medications does not rule out a secondary etiology.

Conclusions:

  • Neuroimaging, including sinus evaluation, is recommended for patients with cluster headache, even with a normal neurological examination.
  • Acute maxillary sinusitis can present with symptoms indistinguishable from cluster headache, necessitating thorough investigation.