Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old male
Isolated sphenoid sinusitis represents a rare pathology encountered in the pediatric population. The clinical presentation is often nonspecific and misleading, thus causing a delay in diagnosis. Progressive acute headache is the chief complaint, followed by cranial nerve involvement, most frequently...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2017-03-01
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| Series: | Romanian Journal of Neurology |
| Subjects: | |
| Online Access: | https://rjn.com.ro/articles/2017.1/RJN_2017_1_Art-05.pdf |
| _version_ | 1811264727523786752 |
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| author | Miorita Toader Alina Oprea |
| author_facet | Miorita Toader Alina Oprea |
| author_sort | Miorita Toader |
| collection | DOAJ |
| description | Isolated sphenoid sinusitis represents a rare pathology encountered in the pediatric population. The clinical presentation is often nonspecific and misleading, thus causing a delay in diagnosis. Progressive acute headache is the chief complaint, followed by cranial nerve involvement, most frequently the optic nerve. The underlying pathology and evolution towards ocular or intracranial complications reside in the particularities of the sphenoid sinus and in its close relations with the surrounding anatomical structures. Prompt diagnosis and initiation of wide-spectrum antibiotherapy are vital for an optimal therapeutic outcome with preservation of normal vision. We report a case of a previously healthy 9-year-old male who presented for an intense progressive headache without any neurological signs.
Under intravenous antibiotherapy he had a rapid favourable evolution and did not develop any complications. An emphasis is put on the importance of a rapid diagnosis followed by prompt treatment with close monitoring. |
| first_indexed | 2024-04-12T20:09:32Z |
| format | Article |
| id | doaj.art-e1c01cf3ad31491e97fe0a70c4f4e4ff |
| institution | Directory Open Access Journal |
| issn | 1843-8148 2069-6094 |
| language | English |
| last_indexed | 2024-04-12T20:09:32Z |
| publishDate | 2017-03-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj.art-e1c01cf3ad31491e97fe0a70c4f4e4ff2022-12-22T03:18:18ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942017-03-01161252810.37897/RJN.2017.1.5Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old maleMiorita Toader0Alina Oprea1Department of ENT, “Grigore Alexandrescu” Emergency Clinical Hospital for Children, Bucharest, RomaniaDepartment of General Pediatrics, “Grigore Alexandrescu” Emergency Clinical Hospital for Children, Bucharest, RomaniaIsolated sphenoid sinusitis represents a rare pathology encountered in the pediatric population. The clinical presentation is often nonspecific and misleading, thus causing a delay in diagnosis. Progressive acute headache is the chief complaint, followed by cranial nerve involvement, most frequently the optic nerve. The underlying pathology and evolution towards ocular or intracranial complications reside in the particularities of the sphenoid sinus and in its close relations with the surrounding anatomical structures. Prompt diagnosis and initiation of wide-spectrum antibiotherapy are vital for an optimal therapeutic outcome with preservation of normal vision. We report a case of a previously healthy 9-year-old male who presented for an intense progressive headache without any neurological signs. Under intravenous antibiotherapy he had a rapid favourable evolution and did not develop any complications. An emphasis is put on the importance of a rapid diagnosis followed by prompt treatment with close monitoring. https://rjn.com.ro/articles/2017.1/RJN_2017_1_Art-05.pdfsecondary headachesphenoid sinusbacterial sinusitis |
| spellingShingle | Miorita Toader Alina Oprea Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old male Romanian Journal of Neurology secondary headache sphenoid sinus bacterial sinusitis |
| title | Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old male |
| title_full | Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old male |
| title_fullStr | Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old male |
| title_full_unstemmed | Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old male |
| title_short | Isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9-year-old male |
| title_sort | isolated acute sphenoid sinusitis as an unexpected cause of acute headache in a 9 year old male |
| topic | secondary headache sphenoid sinus bacterial sinusitis |
| url | https://rjn.com.ro/articles/2017.1/RJN_2017_1_Art-05.pdf |
| work_keys_str_mv | AT mioritatoader isolatedacutesphenoidsinusitisasanunexpectedcauseofacuteheadacheina9yearoldmale AT alinaoprea isolatedacutesphenoidsinusitisasanunexpectedcauseofacuteheadacheina9yearoldmale |