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Systematic review and case report: Intracranial complications of pediatric sinusitis

Neha A Patel1, David Garber2, Shirley Hu2

  • 1New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA.

International Journal of Pediatric Otorhinolaryngology
|June 5, 2016
PubMed

Insights

Intracranial complications of rhinosinusitis, though rare, require prompt diagnosis and multidisciplinary treatment. This systematic review highlights common presentations and effective management strategies for improved patient outcomes.

Area of Science:

  • Neurology
  • Otolaryngology
  • Infectious Diseases

Background:

  • Intracranial complications of rhinosinusitis are uncommon but serious conditions.
  • Prompt recognition and management are critical due to potentially severe outcomes.

Observation:

  • This systematic review analyzed 16 studies involving 180 patients, primarily young males.
  • Subdural empyema, epidural abscess, and cerebral abscess were the most frequent complications.

Findings:

  • Patients commonly presented with nonspecific symptoms like headache and fever.
  • Diagnosis was confirmed using advanced imaging (CT/MRI), and treatment involved surgical drainage and prolonged antibiotics.
  • The study reported a 27% morbidity rate and a 3.3% mortality rate.

Implications:

  • Despite the rarity, a high index of suspicion and multidisciplinary approach are key to favorable outcomes.
  • Further research is needed to clarify optimal surgical interventions for these complex cases.
Abstract

Keywords:
Intracranial complicationsPediatricSinus diseaseSinusitis

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