Sinusitis complicated by meningitis

Current management

Ramzi T Younis, Vinod K. Anand, Curt Childress

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

Objectives: Meningitis is the most common intracranial complication of sinusitis. We review the incidence, current management, outcomes, and complications of this serious infection. Our study also examines the evolving roles of endoscopic sinus surgery and other new therapeutic and diagnostic modalities in our armamentarium. Study Design: A retrospective chart review was performed at a tertiary academic medical center of all patients diagnosed with sinusitis with complications between January 1985 and December 1999. Methods: The patients were divided into two main groups: Intracranial versus orbital complications. Meningitis was the most common intracranial complication. Data on patients with sinusitis and meningitis were collected and analyzed. Results: Intracranial complications were present in 39 of 82 patients whereas orbital complications were noted in 43 patients. Twenty-one of the 39 intracranial complications were meningitis. The most common computed tomography finding in adults (54%) was sphenoid sinusitis. All patients with AIDS (6 of 21) had unique cryptococcus meningitis. In patients without AIDS, the most common organism was Streptococcus pneumoniae (10 of 21). The most common sequela was seizure disorder (4 of 21). Endoscopic sinus surgery was performed on 7 of 21 patients. One patient with AIDS who had sinusitis and meningitis died. Conclusions: Meningitis as a complication of sinusitis may still pose a serious threat. Although outcomes are encouraging, sequelae such as seizure disorders and hearing loss are common complications. The introduction of high-resolution computed tomography scans and magnetic resonance imaging and the availability of wide-spectrum antibiotics have improved our management significantly.

Original languageEnglish
Pages (from-to)1338-1342
Number of pages5
JournalLaryngoscope
Volume111
Issue number8
StatePublished - Aug 20 2001
Externally publishedYes

Fingerprint

Sinusitis
Meningitis
Acquired Immunodeficiency Syndrome
Epilepsy
Sphenoid Sinusitis
Tomography
Cryptococcus
Streptococcus pneumoniae
Hearing Loss
Magnetic Resonance Imaging
Anti-Bacterial Agents
Incidence
Infection

Keywords

  • Complications
  • Computed tomography
  • Meningitis cellulitis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Younis, R. T., Anand, V. K., & Childress, C. (2001). Sinusitis complicated by meningitis: Current management. Laryngoscope, 111(8), 1338-1342.

Sinusitis complicated by meningitis : Current management. / Younis, Ramzi T; Anand, Vinod K.; Childress, Curt.

In: Laryngoscope, Vol. 111, No. 8, 20.08.2001, p. 1338-1342.

Research output: Contribution to journalArticle

Younis, RT, Anand, VK & Childress, C 2001, 'Sinusitis complicated by meningitis: Current management', Laryngoscope, vol. 111, no. 8, pp. 1338-1342.
Younis RT, Anand VK, Childress C. Sinusitis complicated by meningitis: Current management. Laryngoscope. 2001 Aug 20;111(8):1338-1342.
Younis, Ramzi T ; Anand, Vinod K. ; Childress, Curt. / Sinusitis complicated by meningitis : Current management. In: Laryngoscope. 2001 ; Vol. 111, No. 8. pp. 1338-1342.
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