ABSTRACT
This work analyzed 47 cases of oto- and rhinosinusogenic suppurative meningoencephalitis, abscesses and empyemas of the brain in children at the age from 3 months to 17 years old. The article presents the treatment strategy, results and the volume of diagnostic measures. On the basis of this research, the authors came to conclusion, that care of the children with otogenic and rhinosinusogenic suppurative diseases of the brain required an interdisciplinary approach and effective cooperation of a neurosurgeon, otolaryngologist, pediatrician, resuscitation specialist, infectionist and a clinical pharmacologist.
Subject(s)
Brain Abscess , Ear Diseases , Empyema, Subdural , Meningoencephalitis , Neurosurgical Procedures/methods , Otorhinolaryngologic Surgical Procedures/methods , Paranasal Sinus Diseases , Adolescent , Brain Abscess/diagnosis , Brain Abscess/etiology , Brain Abscess/surgery , Child , Child, Preschool , Ear Diseases/complications , Ear Diseases/surgery , Empyema, Subdural/diagnosis , Empyema, Subdural/etiology , Empyema, Subdural/surgery , Female , Humans , Infant , Interdisciplinary Communication , Male , Meningoencephalitis/diagnosis , Meningoencephalitis/etiology , Meningoencephalitis/therapy , Outcome and Process Assessment, Health Care , Paranasal Sinus Diseases/complications , Paranasal Sinus Diseases/surgery , Patient Care Team/organization & administrationABSTRACT
An analysis of the results of X-ray CT and MR-imaging was made in 46 patients aged from 13 to 78 years old. The patients were admitted to multifield hospitals in Kursk at the period from 2005 to 2015. The research included the nasal cavity, paranasal sinuses, mastoid and pyramid of the temporal bones and the brain. The study could be repeated with bolus contrast medium infusion. The condition of the patients was evaluated in dynamics at intervals of 5-7 days and these data was associated with clinical picture. The authors presents a complex of symptoms and an algorithm of differentiated X-ray diagnostics of diseases of the ENT organs and the main nosological forms of pyoinflammatory diseases of arachnoid membrane and substances of the brain.
Subject(s)
Arachnoiditis , Brain Abscess , Brain/diagnostic imaging , Ear Diseases , Magnetic Resonance Imaging/methods , Paranasal Sinus Diseases , Sinus Thrombosis, Intracranial , Tomography, X-Ray Computed/methods , Adolescent , Adult , Aged , Arachnoiditis/diagnosis , Arachnoiditis/etiology , Brain Abscess/diagnosis , Brain Abscess/etiology , Diagnosis, Differential , Ear Diseases/classification , Ear Diseases/complications , Ear Diseases/diagnosis , Female , Humans , Male , Paranasal Sinus Diseases/classification , Paranasal Sinus Diseases/complications , Paranasal Sinus Diseases/diagnosis , Radiographic Image Enhancement/methods , Risk Factors , Severity of Illness Index , Sinus Thrombosis, Intracranial/diagnosis , Sinus Thrombosis, Intracranial/etiology , Symptom Assessment , Time FactorsABSTRACT
An analysis of 19 cases of meningoencephalitis was made in infants aged under one year old. The disease was complicated by chronic subdural hematomas in 11 patients and by hydrocephalus in 8 patients. The article presents the strategy, treatment results and diagnostic procedures volume. Based on their work, the authors made a conclusion that meningoencephalitis required an emergency neurosurgical interference in order to avoid complications in convalescence period.