A Case of Sinogenic Multiple Brain Abscesses

Kim, Yong Dae; Kim, Jae Yeul; Chi, Deok Hwan; Park, Jun Chul

Abstract

Intracranial complications of sinusitis are known as serious illness, however, they are often neglected because their initial symptoms are not definitively remarkable. Although the incidence is progressively decreasing since the development of antibiotics, these intracranial complications are still very dangerous to death until now. Brain abscess, along with meningitis, is regarded as one of the most common intracranial complication of sinusitis. Brain abscess of sinus origin develops most commonly in the frontal lobe and usually secondary to infection in the frontal or ethmoid sinus either as isolated infection or part of pansinusitis. Both craniotomy and sinus surgery as well as administration of massive intravenous antibiotics are necessary for complete eradication of sinogenic brain abscess. However, little information has been available on the appropriate management of sinogenic multiple brain abscesses. We have experienced a case of multiple brain abscesses secondary to acute pansinusitis in 17 year-old female patient. So we report a case of sinogenic multiple brain abscesses treated by craniotomy and endoscopic sinus surgery with massive intravenous antibiotics.