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KKR ENT Clinic - Periyar Nagar
New No.54, Old No.B-60, 70 Feet Road, 1st Floor, Periyar Nagar.Landmark: Opp To Nilgiris Super Market, Chennai, Chennai Get DirectionsKKR ENT Hospital and Research Centre
No: 827, Poonamallee High Road. Landmark: Opp. To Sirstmed Apollo Hospital, Chennai, Chennai Get DirectionsKKR ENT Clinic
New No.54, Old No.B-60, 70 Feet Road, 1st Floor, Periyar Nagar, Landmark: Opp To Nilgiris Super Market, Chennai, Chennai Get DirectionsKKR ENT Hospital and Research Centre
# 274 ( Old 827 ), Poonamallee High Road,Kilpauk, Landmark:Opp To Apollo First Med Hospital., Chennai Get DirectionsKKR ENT Hospital & Research Institute
274, Poonamalle High Road, Landmark : Kilpauk Medical College, Chennai, Chennai Get DirectionsConsult Online
Services
Cysts Removal Procedure
Laser Treatment
Treatment of Tonsils (Tonsillitis)
Hearing Aid Fitting
Treatment of Throat and Voice Problems
Earlobe Repair Procedure
Sleep Medicine
Audiometry Test
Treatment of Sleep Disturbance
Sleep Study
Nose Reshaping Procedure
Vertigo Treatment
Septoplasty Procedure
Insomnia Treatment
Hearing Testing Techniques
Tonsillectomy Procedures
Nasal And Sinus Allergy Care
Cochlear Implant Procedure
Ear Micro Surgery
Treatment Of Hearing Deficiency
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The answer is unfortunately. Yes!
Meningitis, sometimes referred as spinal meningitis, is an inflammation of the membranes surrounding the brain and spinal cord. Usually caused by a viral infection, but it can also be caused by a bacterial or fungal infection.
Among pediatric patients admitted for treatment of sinusitis, 3.2% were found to have an intracranial complication. Infection of the sphenoid sinuses, however, merits concern. These thin-walled sinuses develop late in childhood, and their deep location places them adjacent to the dura mater and other critical structures.
Sphenoid sinusitis is identified in approximately 3% of cases of acute sinusitis, typically in the context of pansinusitis. Significant development of the sphenoid sinuses does not begin until age 4 to 6 years, thus, sphenoid sinusitis is restricted.
Viral infection causes most cases of spinal meningitis. Viral meningitis is usually mild and heals without treatment. Bacterial meningitis is more severe and requires treatment with antibiotics. Streptococcus pneumoniae and neisseria meningitidis are strains of bacteria that cause pneumococcus and meningococcus meningitis respectively.
It can be life threatening condition owing to its proximity to brain and spinal cord and infective media is the fluid surrounding them.
Diagnostic tools:
• Lumbur puncture – csf examination (cell count, glucose, proteins) and culture
• Blood culture
• Chest x ray
• CT scan of head and nose – pns
• MRI brain
Symptom checker in meningitis secondary to sinusitis:
• Fever (92%)
• Headache (85%)
• Nausea, vomiting (62%)
• Altered consciousness (31%)
• Seizure (31%)
• Hemiparesis (23%)
• Visual disturbance (23%)
• Meningismus (23%)
Conclusion and quick pearls:
• Complications that are less common with antibiotics
• Orbital (cellulitis, abscess)
• Intracranial (subdural empyema, thrombosis of cavernous sinus)
• Bony osteomyelitis.
• Can result in drastic sequelae
• Drain abscess and open involved sinuses
• Ent surgical involvement – functional endoscopic sinus surgery
- Usually amenable with medical treatment
- Drain sinuses if no improvement after 48 hours
• Ophthalmology check up
• Neurosurgery intervention
A low index of suspicion is necessary for early diagnosis and treatment of sphenoid sinusitis, orbital complications and prevention of intracranial complications including meningitis.