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Papilloedema secondary to acute purulent sinusitis

R Kishore Kumar1, M H Ghali1, F Dragojevic1

  • 1Department of Paediatrics and Child Health,,Department of ENT, University of Tasmania, North-west Regional Hospital, Burnie, and,Strahan Medical Centre, Strahan, Tasmania, Australia.

Journal of Paediatrics and Child Health
|September 6, 2017
PubMed

Insights

Intracranial complications from sinusitis are rare in children. This study highlights two cases of papilledema, a rare complication of purulent sinusitis, in children, emphasizing atypical presentations.

Area of Science:

  • Pediatrics
  • Neurology
  • Otolaryngology

Background:

  • Sinusitis and upper respiratory tract infections are common pediatric conditions.
  • Intracranial complications of sinusitis are rare and often present subtly in children.
  • Papilledema as a complication of purulent sinusitis has not been previously reported.

Purpose of the Study:

  • To report two cases of atypical sinusitis manifestations in children.
  • To highlight the rare complication of papilledema secondary to purulent sinusitis.
  • To increase awareness of unusual presentations of sinusitis in pediatric patients.

Main Methods:

  • Case report of two pediatric patients presenting with sinusitis.
  • Clinical evaluation including neurological and ophthalmological examinations.
  • Review of relevant medical literature.

Main Results:

  • Two children presented with purulent sinusitis and developed papilledema.
  • The papilledema was secondary to the purulent sinusitis, an unreported complication.
  • Clinical presentation was atypical for sinusitis complications.

Conclusions:

  • Papilledema can be a rare, atypical manifestation of purulent sinusitis in children.
  • Clinicians should consider sinusitis in the differential diagnosis of pediatric papilledema.
  • Early recognition and management of sinusitis may prevent severe complications.

Keywords:
computed tomographyheadachepapilloedemapurulent sinusitis

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