Section: 
From practice
From practiceEmergency aid in intracranial complications of inflammatory diseases of the nose and paranasal sinuses
A. A. Krivopalov (1), D. V. Leiko (2), A. Yu. Shcherbuk (3), Yu. A. Shcherbuk (3), P. A. Shamkina (1), A. M. Markova (3)
(1) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia
(2) City Hospital of the Holy Martyr Elizabeth, Saint Petersburg, 195257, Russia
(3) Saint Petersburg State University, Saint Petersburg, 199034, Russia
UDK: 616.831-002.3-02:616.216-083.98
DOI: https://doi.org/10.18692/1810-4800-2019-4-91-96
ABSTRACT
Suppurative inflammatory intracranial complications of acute and chronic diseases of ear, nose and paranasal sinuses are the most severe and life-threatening pathology, the interest in it has been growing over the recent years, due to epidemiological and clinical features of these diseases, with the absence of clear algorithms for diagnostics and treatment of this group of patients. Today, the rates of hospital mortality and disability due to intracranial complications remain high, which is associated with diagnostic, tactical difficulties in providing specialized medical care to these patients. The article presents a clinical case of an interdisciplinary approach to the treatment of a patient with intracranial complications (meningoencephalitis, subdural empyema, severe sepsis associated with chronic acute polisinusitis exacerbation). The article provides a plan of complex examination of the patient, the tactics of surgical and conservative treatment of this patient.
Publication date:
06.08.2019
Keywords:
otorhinolaryngology, neurosurgery, specialized care, intracranial complications of ENT organs, rhinogenic intracranial complications, chronic purulent sinusitis, meningoencephalitis, sepsis. For citation:
Krivopalov A. A., Leiko D. V., Shcherbuk A. Yu., Shcherbuk Yu. A., Shamkina P. A., Markova A. M. Emergency aid in intracranial complications of inflammatory diseases of the nose and paranasal sinuses. Rossiiskaya otorinolaringologiya. 2019;18(4):91–96. https://doi.org/10.18692/1810-4800-2019-4-91-96