| 부비동염에 동반된 화농성 두개내 합병증의 임상 양상 |
| 김병기, 이화영 ·송희정 ·김대홍*·한문구 ·오건세 |
| 을지의과대학 신경과학교실,방사선과학교실* |
| "Clinical Manifestations of Intracranial Complication Associated
With Paranasal Sinus Infection" |
| "Byoung-Ki Kim, M.D., Hwa-Young Lee. M.D., Hee-Jung Song, M.D.,
Tae-Hong Kim*,.M,D., Moon-Gu Han, M,D., Gun-Sei Oh, M.D." |
| Department of Neurology, Radiology*, Eulji University School of Medicine, Daejeon, Korea. |
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| Abstract |
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"Background : Intracranial complications of paranasal sinus infection are rare and may be misdiagnosed during an ini-tial
evaluation because they often show subtle symptoms, which include elusive physical and neurological findings and
imaging. The late recognition of these conditions and the delayed treatment can increase morbidity and mortality rates.
We aimed to characterize the typical clinical features of intracranial complications associated with sinusitis. Methods :
Twelve patients who visited the Eulji Medical Center from 1994 to 2000, with sinogenic suppurative intracranial lesions
were reviewed. Medical records and radiological studies were reviewed retrospectively. Results : There were 12 cases
with 15 sinogenic intracranial complications. The ratio of males to female was 2 : 1. The ages of patients ranged from
16 to 81 (average: 46.7). Four cases had meningitis, four had focal cerebritis, three had cavernous sinus throm-bophlebitis,
two had subdural empyema, and two had epidural abscess or empyema. The primary lesions of paranasal
sinusitis were located at the sphenoid in three, ethmoid sinus in two, frontal sinus in one and the multiple sinus in six.
The outcome revealed complete recovery in six cases, mild neurologic sequelae in three cases, death in two cases and
recurrence in one case. Conclusions : The type of intracranial complication and origin of paranasal sinusitis may be changing. Cases in which such complications are suspected, in order for an early diagnosis, a MRI should be consid-ered. The successful management of intracranial complications consists of timely antibiotics therapy combined with surgical drainage of the loculated infection. J Korean Neurol Assoc 19(5):457~463, 2001 Key Words : Paranasal sinusitis, Intracranial complication, MRI" |
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