Feb 16, 2012

Cranioencephalic complications of bacterial sinusitis in children and adolescents: eight cases in Libreville (Gabon)

Santé : cahiers d'étude et de recherches francophones
Jérôme MiloundjaLéon N'zouba

Abstract

To review the pathologic, diagnostic and therapeutic aspects of the cranioencephalic complications of bacterial sinusitis. This retrospective study included children who underwent diagnostic imaging at the Omar Bongo Ondimba military hospital between January 2006 and December 2010 and treatment of cranioencephalic complications of sinusitis. During the study period, 58 children were hospitalized with sinusitis, and eight (13.8%) had cranioencephalic complications for an annual incidence of 1.6% and a sex ratio of 5 boys to 3 girls. Their mean age was 13 years. Symptoms developed over a mean duration of 14 days (range: 3-45 days). The clinical picture was dominated by febrile headaches and neurologic signs. Palpation of the sinus pressure points was painful in all cases. Disorders of consciousness were found in five cases, with a mean Glasgow score of 9 (range: 7-13). Seven children had multifocal sinusitis and one frontal sinusitis. Five children had a subdural empyema, two associated with thrombophlebitis of the sagittal sinus, one with a brain abscess with thrombophlebitis of the sagittal sinus, and another with meningitis and thrombophlebitis of the sagittal sinus. Two children had osteomyelitis of the frontal sinus table, i...Continue Reading

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Mentioned in this Paper

Sinusitis Bacterial
Brain Abscess
Mycoplasma pneumoniae
Palpation
Haemophilus influenzae
Frontal Sinus
Meningitis, Haemophilus
Malignant Frontal Sinus Neoplasm
Tragelaphus eurycerus
Osteomyelitis

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