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[Acute sphenoid sinusitis in adults].

A Boissonnas, P Khalifa, A Ducolombiers

    Annales De Medecine Interne
    |January 1, 1986
    PubMed
    Summary

    Acute sphenoid sinusitis, often presenting with headache and fever, can lead to delayed diagnosis and severe neurological complications. Early diagnosis and appropriate treatment are crucial for better outcomes in these complex sinus infections.

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    Area of Science:

    • Otolaryngology
    • Neurology
    • Infectious Diseases

    Background:

    • Acute sphenoid sinusitis is a rare but potentially severe infection.
    • It can present with non-specific symptoms, leading to diagnostic delays.

    Purpose of the Study:

    • To review cases of acute sphenoid sinusitis.
    • To identify common presentations, diagnostic challenges, and treatment outcomes.

    Main Methods:

    • Retrospective review of seven acute sphenoid sinusitis cases.
    • Analysis of clinical presentation, diagnostic methods, microbiological findings, and treatment.

    Main Results:

    • Headache and fever were predominant symptoms; neurological deficits (cranial nerve palsies) indicated delayed diagnosis.

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  • Computed axial tomography (CT) was key for diagnosis; only three cultures yielded pathogens.
  • Outcomes varied, including death, complete recovery, and persistent neurological deficits.

    • Conclusions:

    • Acute sphenoid sinusitis requires high clinical suspicion, especially with neurological signs.
    • Prompt diagnosis via CT and appropriate antibiotic therapy are vital.
    • Aggressive management, including surgical intervention, may be necessary for severe cases.