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Balloon Sinuplasty Procedure
Cochlear Implant Procedure
Treatment of Endoscopic Sinus Surgery
Treatment of Foreign Body in Eyes, Ears, Nose and
Hearing Aid Fitting
Treatment of Hearing, Speech Impairment
Nosebleed (Epistaxis) Treatment
Treatment of Throat and Voice Problems
Treatment of Tonsils (Tonsillitis)
Treatment of Nasal Disorders
Canalith Repositioning (Cr) Procedure
Congenital Ear Problem Treatment
Csf Rhinorrhoea Repair Surgery
Ear Microsurgery Procedure
Functional Endoscopic Sinus Surgery
Micro Laryngeal Surgery
Reconstructive Middle Ear Surgery
Revision Ear Surgeries
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Before 2 months I had an giddiness and l fell down from bike and admitted to apollo. in apollo all testing and scanning has been done and also ct brain was normal no problem was seen in report. But neurologist said that I had an fits. But in discharge report nothing has been mentioned that I had an fits in that report only amnesia was mentioned. May I know whats wrong with my brain?
I am suffering from ear puss discharge in last 3 years. I have gone through ENT Hospitals doctors suggested to operation both ears. One small hole is there I have taken medicine for Antibiotics, cold tablets so many months.
I Am Prateik 23, I have been continuously suffering from cold ND cough for around 20 days. Now I m having some kind of irritation in my throat. What should I do.
I have sinusitis problem. I am preparing bank exam. My Doubt is that sinusitis is medical issue in medical fitness test. please replay me sir.
I am harishita. I am facing problems in my throat from four days. It even doesn't me to let eat with ease. This is very problem for me.
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.
• 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.