BACKGROUND Sinogenic intracranial empyema (SIE) is an uncommon complication of sinusitis that can lead to devastating neurologic sequelae. Early recognition of the clinical findings is critical so that proper management can be instituted. OBJECTIVE To describe the symptoms, signs, and laboratory and imaging findings from one of the largest pediatric SIE case series reported. METHODS Descrip...

OBJECTIVES To determine the patterns of disease recurrence in chronic sinusitis and to examine the influence of surgical intervention on the presence or absence of disease among sinuses at the time of revision. DESIGN Retrospective review of case series in a 56-month period. Preoperative computed tomography (CT) scans at the initial surgery and at revision were staged using the Lund and Macka...

OBJECTIVE To clarify the three-dimensional anatomical features of the sphenoid sinus and its surrounding structures as are relevant to performing an endoscopic sphenoidotomy. METHODS Various dimensions of 224 CT images of the sphenoid sinus and surrounding structures from 122 Japanese adult patients were measured using the multiplanar reconstruction technique. RESULTS The mean distance from...

TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Sinusitis is a common ailment that generally self-limiting and easily treated with antibiotics. We describe rare case of extensive sinusitis persistent headache led to cavernous sinus thrombosis, causing unilateral thalamic infarction. CASE PRESENTATION: 69 year old female presented the Emergency Department an occipi...

b a c k ground: over the past decades, instruments and techniques of the transsphenoidal approach have improved greatly. all of these procedures, whether microscopic or endoscopic, must pass through the sphenoid sinus to reach the lesions. the sphenoid sinus is surrounded by several vital anatomical structures. knowing the details of the anatomy of the sphenoid sinus and the extent of pneumatiz...

PURPOSE OF REVIEW To review cause, clinical evaluation, medical and surgical management of isolated sphenoid sinus diseases. RECENT FINDINGS Early diagnosis of isolated sphenoid sinus diseases requires a high index of clinical suspicion and appropriate radiological imaging. Sphenoid sinus can be approached endoscopically via a few different surgical techniques. SUMMARY Isolated sphenoid sin...

A 51-year-old man was admitted to the emergency department with a 10 week history of gradually worsening frontal headaches and fl uctuating confusion. At the same time, he complained of nausea and vomiting, bilateral facial pain, an unpleasant taste in his mouth and mucoid discharge from both nostrils. He had presented to a nearby district general hospital on two occasions during the fortnight ...

BACKGROUND AND PURPOSE Sphenoid dysplasia associated with neurofibromatosis type 1 is classically thought to be primarily related to abnormal development of the sphenoid bone. We investigated the possibility that these changes may be progressive. METHODS We conducted a retrospective review of sphenoid bone changes in all patients with craniofacial neurofibromatosis type 1 who had undergone CT...