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Updated: Aug 12, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
Complicated acute frontal sinusitis in a child presenting with acute ischemic stroke
Wesley L Davison1, David A Gudis1
1Department of Otolaryngology-Head and Neck Surgery, Columbia University Irving Medical Center, Harkness Pavilion, 180 Ft. Washington Ave, New York, NY, 10032, USA.
Acute stroke is a rare complication of sinusitis, especially in children. This case report details a 9-year-old boy who recovered fully after treatment for acute stroke and severe pansinusitis.
Area of Science:
- Neurology
- Otolaryngology
- Pediatrics
Background:
- Sinusitis is inflammation of the sinuses.
- Acute stroke is a sudden interruption of blood flow to the brain.
- Stroke as a complication of sinusitis is rare, particularly in pediatric cases.
Observation:
- A healthy 9-year-old male presented with acute stroke.
- The patient had severe acute pansinusitis.
- Previous cases of sinusitis-related stroke involved carotid artery pathology.
Findings:
- This is the first reported case of acute sinusitis presenting as stroke with normal arterial anatomy and function.
- The patient received parenteral antibiotics, endoscopic sinus surgery, and adenoidectomy.
- The patient achieved a full neurologic recovery.
Implications:
- This case expands the understanding of stroke complications associated with sinusitis.
- It highlights the importance of considering sinusitis in pediatric stroke evaluations.
- Prompt medical and surgical intervention can lead to favorable outcomes in rare sinusitis-induced stroke cases.
Related Concept Videos
Ischemic Stroke l: Introduction
Ischemic Stroke ll: Pathophysiology
Hemorrhagic Stroke ll: Pathophysiology
Bacterial Meningitis I: Introduction
Bacterial Meningitis II: Pathophysiology
Brain Abscess l: Introduction

