Clinical Rhinology

Register      Login

VOLUME 4 , ISSUE 2 ( May-August, 2011 ) > List of Articles


Intracranial and Orbital Complications of Sinusitis: A Case Series and Review of Literature

Kishore Shetty, Vinay Vaidyanathan

Keywords : Intraorbital complication,Intracranial suppurative complication,Cavernous sinus thrombosis,Superior sagittal sinus thrombosis

Citation Information : Shetty K, Vaidyanathan V. Intracranial and Orbital Complications of Sinusitis: A Case Series and Review of Literature. Clin Rhinol An Int J 2011; 4 (2):87-92.

DOI: 10.5005/jp-journals-10013-1080

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2011; The Author(s).


Complications of paranasal sinus infection most often involve the orbit and periorbita. Because of widespread use of antibiotics, intracranial extension of paranasal sinusitis is rarely seen today. Nevertheless, the clinician must be aware of the potential of these complications, as late recognition of this condition and delay in treatment can increase morbidity and mortality rates. An interesting case series of sinusitis with orbital and intracranial complication is presented, which was radiologically evaluated, and was managed by endoscopic sinus surgery with drainage of subdural empyema by appropriate neurosurgical technique. The radiological tools played a very important role in both assessment and timing of surgical intervention. Unparallel role of radiological investigations cannot be overemphasized. The key to successful treatment is aggressive management and the timing for surgical intervention should not be deferred. The patients made full recovery at the time of discharge.

PDF Share
  1. Persisting incidence and mortality of sinogenic cerebral abscess: A continuing eflection of late clinical diagnosis. J R Soc Med 1991;84:193.
  2. Influence of CAT scanning on diagnosis and mortality rate of brain abscess. J Tenn Med Assoc 1980;73:325.
  3. Intracranial complications of infections of the nasal cavities and accessory sinuses. A survey of lesions observed in a series of fifteen thousand autopsies. Arch Otolaryngol 1938;27:692.
  4. Diagnosis and treatment of intracranial complications of paranasal sinus infection. J Oral Maxillofac Surg 1995;53:1080-87.
  5. Complications of frontal sinusitis and their management. Otolaryngol Clin North Am 2001;34:211-25.
  6. The intracranial complications of rhinosinusitis: Can they be prevented? Laryngoscope 2002;112:59-63.
  7. Sinogenic intracranial complications. J Laryngol Otol 1995;109:945-50.
  8. Intracranial complications of sinusitis. Am J of Otolaryngol H & N Surg 1997;107(7):863-67.
  9. Orbital cellulitis, orbital subperiosteal and antraorbital abscess. Report of three cases and review of the literature. J of Cranio Maxillofac Surg 2008;1-5.
  10. Intracranial cmplications of paranasal sinusitis: A combined institutional review. Laryngoscope 1991;101:234-39.
  11. Subdural empyema and other suppurative complications of paranasal sinusitis. Lancet Infect Dis 2007;7:62-67.
  12. Subdural empyema of otorhinolaryngol origin. J Laryngol Otol 1990;104:118-122.
  13. Subdural empyema: Analysis of 17 recent cases and review of the literature. Medicine 1975;54:485-98.
  14. Bacterial meningitis in the elderly. Arch Intern Med 1984;144:1603.
  15. Brain abscess. Medicine (Baltimore) 1986;65:415.
  16. Bacterial brain abscess: Infectious diseases and medical microbiology (2nd ed). Philadelphia, PA, Saunders 1986:1080-85.
  17. Frontal sinusitis and its intracranial complications. Int J Pediatr Otorhinolaryngol 1983;5:285.
  18. Intracranial suppuration: A clinical comparison of subdural empyemas and epidural abscesses. Surg Neurol 2003;59:191-96.
  19. Subdural empyema: Clinical and computed tomographic correlation. Arch Neurol 1986;43:497-500.
  20. Cranial and intracranial bacterial infections. In: Youmans JR (Ed): Neurological Surgery. A Comprehensive Reference Guide to the Diagnosis and Management of Neurosurgical Problems (3rd ed) Philadelphia, PA, Saunders 1990;6:3707-35.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.