Intracranial empyema complicating sinusitis in childhood: Epidemiology, imaging findings and outcome
| dc.rights.license | open | en_US |
| dc.contributor.author | AGOUZOUL, Sara | |
| hal.structure.identifier | Sommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY] | |
| dc.contributor.author | COELHO, Julien | |
| dc.contributor.author | SAGARDOY, Thomas | |
| dc.contributor.author | DELMAS, Jean | |
| dc.contributor.author | BESSOU, Pierre | |
| dc.contributor.author | HAVEZ, Marion | |
| dc.contributor.author | OLLIVIER, Morgan | |
| hal.structure.identifier | Centre de résonance magnétique des systèmes biologiques [CRMSB] | |
| dc.contributor.author | CHATEIL, Jean-Francois | |
| dc.date.accessioned | 2022-10-31T08:47:41Z | |
| dc.date.available | 2022-10-31T08:47:41Z | |
| dc.date.issued | 2022-09-05 | |
| dc.identifier.issn | 1872-8464 (Electronic) 0165-5876 (Linking) | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/170164 | |
| dc.description.abstractEn | BACKGROUND: To describe clinical presentations of intracranial sinusitis complications in childhood, their pitfalls and imaging findings. MATERIEL AND METHODS: This retrospective IRB-approved single-center study included infants diagnosed with sinusitis and empyema and/or other intracranial complications who underwent imaging between September 2008 and September 2019. Three radiologists individually reviewed clinical charts and imaging findings, including sinusitis complications and at-risk anatomical variations. RESULTS: 21 children (76% males and 24% females, mean age 13±3.1 years) with imaging pansinusitis were included. Headache (95%) and fever (90%) were the main clinical nonspecific signs. Ten (48%) children presented an extradural empyema, nine (43%) children had a subdural empyema and two (10%) children had both. Frontal location sinusitis was the most common (76%). In MRI, all empyema presented as a hypo intensity on pre-contrast T1-WI, a hyperintensity on T2-WI, a reduced apparent diffusion coefficient (ADC) on diffusion weighted imaging (DWI) and a peripheral contrast enhancement on post-contrast T1-WI. CT or MRI revealed intracranial complications such as a collection size increase (52%), a midline shift (62%), intraparenchymal abscesses (24%), a cerebral venous thrombosis (29%), an intracranial pressure increase (29%), cerebral ischemia (43%) and Pott's Puffy Tumor (10%). Imaging highlighted sinus anatomical abnormalities in 52% of cases. All children were treated with sinus drainage and/or neurosurgery. Long-term follow-up was favorable in 14 cases (67%). CONCLUSION: Complications of sinusitis are life threatening in the studied population. Empyema and cerebral complications may be misleading. Brain contrast-enhanced CT covering sinuses and orbits, is mainly the first examination done but MRI is mandatory. | |
| dc.language.iso | EN | en_US |
| dc.title.en | Intracranial empyema complicating sinusitis in childhood: Epidemiology, imaging findings and outcome | |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1016/j.ijporl.2022.111299 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Santé publique et épidémiologie | en_US |
| dc.identifier.pubmed | 36137474 | en_US |
| bordeaux.journal | International Journal of Pediatric Otorhinolaryngology | en_US |
| bordeaux.volume | 162 | en_US |
| bordeaux.hal.laboratories | SANPSY (Sommeil, Addiction, Neuropsychiatrie ) - USR 3413 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.institution | CNRS | |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| hal.identifier | hal-03834851 | |
| hal.version | 1 | |
| hal.date.transferred | 2022-10-31T08:47:44Z | |
| hal.export | true | |
| dc.rights.cc | Pas de Licence CC | en_US |
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