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Pachymeningitis presenting feature of posterior sinus infection
European Journal of Pediatrics
|April 1, 1986
Abstract:
Pachymeningitis may be the presenting symptom of an adjacent paranasal sinus or ear infection. Inflammatory disease of the posterior sinuses (sphenoid and posterior ethmoid cells) may not clinically be apparent and might be overlooked. We report three patients presenting with symptoms and signs of pachymeningitis due to posterior sinus infection. Surgical and/or medical treatment of the local disease results in resolution of the pachymeningitis.
Insights
Posterior sinus infections can cause pachymeningitis, a serious condition. Prompt treatment of the sinus infection can resolve pachymeningitis symptoms.
Area of Science:
- Neurology
- Otolaryngology
- Infectious Diseases
Background:
- Pachymeningitis, inflammation of the dura mater, can be a presenting symptom of adjacent infections.
- Posterior paranasal sinus inflammation, specifically involving the sphenoid and posterior ethmoid sinuses, may be clinically occult.
- Overlooking posterior sinus infections can lead to delayed diagnosis and treatment of associated pachymeningitis.