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Maxillary sinusitis complicated by stroke.

C Fabre1, I Atallah2, I Wroblewski3

  • 1Service hospitalo-universitaire d'ORL et chirurgie cervico-faciale, CHU Michalon CS 10217, 38043, Grenoble cedex 9, France.

European Annals of Otorhinolaryngology, Head and Neck Diseases
|August 4, 2018
PubMed
Summary
This summary is machine-generated.

Acute sinusitis can rarely cause serious neurological issues. This case highlights a rare instance of a child experiencing an ischemic stroke due to carotid arteritis linked to maxillary sinusitis.

Keywords:
ArteritisDiabetes mellitusIschaemic strokeSinusitis

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Area of Science:

  • Neurology
  • Otolaryngology
  • Vascular Medicine

Background:

  • Neurological complications arising from acute sinusitis are infrequent but can be severe.
  • This case report focuses on a rare presentation of sinusitis with neurological sequelae.

Observation:

  • A 6-year-old diabetic female presented with an ischemic stroke in the middle cerebral artery.
  • The stroke was attributed to inflammatory arteritis of the left internal carotid artery.
  • The patient had bilateral acute maxillary sinusitis with complete sinus obstruction.

Findings:

  • Magnetic Resonance Imaging (MRI) confirmed ischemic stroke and carotid arteritis.
  • Endoscopic sinus drainage and broad-spectrum antibiotics led to a favorable outcome.
  • The proposed mechanism involves infectious inflammatory spread via the pterygoid venous plexus.

Implications:

  • This case represents the first reported instance of stroke secondary to maxillary sinusitis.
  • Highlights the importance of considering sinusitis in the differential diagnosis of pediatric stroke.
  • Emphasizes the potential for serious vascular complications from seemingly common infections.