Abstract
Background: Osteomas are benign lesions of bone, most frequently seen in the paranasal sinuses; however, they are typically asymptomatic and without complication. We report a rare case of large frontal sinus osteoma with intracranial extension, associated with meningitis and the development of seizures. Case Description: The patient is a 38-year-old man with a prolonged history of headache and seizures, who was seen by multiple specialists previously, all of whom deferred treatment. After years of worsening seizure activity, he finally underwent surgical resection of the lesion at our institution in a joint operation with neurosurgery and otolaryngology. We examine his course, presentation, and management, and examine the literature for cases of complicated sinus osteomas. Conclusions: This represents the fourth reported case of frontal sinus osteoma associated with meningitis. We believe this case demonstrates the value of a robust differential and a multidisciplinary approach.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 216-220 |
| Number of pages | 5 |
| Journal | World Neurosurgery |
| Volume | 123 |
| DOIs | |
| State | Published - Mar 1 2019 |
| Externally published | Yes |
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Keywords
- Frontal sinus
- Meningitis
- Osteoma
ASJC Scopus subject areas
- Surgery
- Clinical Neurology
Cite this
Frontal Sinus Osteoma Presenting with Meningitis and Epilepsy. / Kolcun, John Paul G.; Richardson, Angela M.; Gernsback, Joanna E.; Rosenberg, Andrew; Komotar, Ricardo J.
In: World Neurosurgery, Vol. 123, 01.03.2019, p. 216-220.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Frontal Sinus Osteoma Presenting with Meningitis and Epilepsy
AU - Kolcun, John Paul G.
AU - Richardson, Angela M.
AU - Gernsback, Joanna E.
AU - Rosenberg, Andrew
AU - Komotar, Ricardo J
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Background: Osteomas are benign lesions of bone, most frequently seen in the paranasal sinuses; however, they are typically asymptomatic and without complication. We report a rare case of large frontal sinus osteoma with intracranial extension, associated with meningitis and the development of seizures. Case Description: The patient is a 38-year-old man with a prolonged history of headache and seizures, who was seen by multiple specialists previously, all of whom deferred treatment. After years of worsening seizure activity, he finally underwent surgical resection of the lesion at our institution in a joint operation with neurosurgery and otolaryngology. We examine his course, presentation, and management, and examine the literature for cases of complicated sinus osteomas. Conclusions: This represents the fourth reported case of frontal sinus osteoma associated with meningitis. We believe this case demonstrates the value of a robust differential and a multidisciplinary approach.
AB - Background: Osteomas are benign lesions of bone, most frequently seen in the paranasal sinuses; however, they are typically asymptomatic and without complication. We report a rare case of large frontal sinus osteoma with intracranial extension, associated with meningitis and the development of seizures. Case Description: The patient is a 38-year-old man with a prolonged history of headache and seizures, who was seen by multiple specialists previously, all of whom deferred treatment. After years of worsening seizure activity, he finally underwent surgical resection of the lesion at our institution in a joint operation with neurosurgery and otolaryngology. We examine his course, presentation, and management, and examine the literature for cases of complicated sinus osteomas. Conclusions: This represents the fourth reported case of frontal sinus osteoma associated with meningitis. We believe this case demonstrates the value of a robust differential and a multidisciplinary approach.
KW - Frontal sinus
KW - Meningitis
KW - Osteoma
UR - http://www.scopus.com/inward/record.url?scp=85059557954&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85059557954&partnerID=8YFLogxK
U2 - 10.1016/j.wneu.2018.12.031
DO - 10.1016/j.wneu.2018.12.031
M3 - Article
C2 - 30579023
AN - SCOPUS:85059557954
VL - 123
SP - 216
EP - 220
JO - World Neurosurgery
JF - World Neurosurgery
SN - 1878-8750
ER -