RHINOGENIC AND OTOTIC INTRACRANIAL SUPPURATION

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Admitted MANAGEMENT Continued i.v. antibiotic therapy i.v. fluid therapy Conditioned stabilised Urgent referral to E.N.T Hospitaladmitted BAWO- Pus +++ right maxillary sinus Back to VH next day
MANAGEMENT (cont) 25/06/08: Cranial surgery 1. Right small frontal craniotomy for drainage of brain abscess 2. Wide temporoparietal craniotomy for evacuation of subdural empyema Nursed in ICU I.v antibiotics/ i.v phenytoin
Page 1 and 2: RHINOGENIC AND OTOTIC INTRACRANIAL
Page 3 and 4: Age: 8 yrs Sex: male PATIENT PROFI
Page 5 and 6: Admitted ? Early GE HISTORY (cont.
Page 7 and 8: PAST HISTORY h/o fall from stairs
Page 9 and 10: On Examination (cont) Systemic exam
Page 11: INVESTIGATION Hematological: ↑
Page 15 and 16: Still having RUQ pain Ultrasound a
Page 17 and 18: Thank you!!
Page 29 and 30: Emergency combined surgical treatme
Page 31 and 32: 4/18/2011 31
Page 33 and 34: ANATOMY Facial veins connect with
Page 35 and 36: Infections of SPREAD Face, nose, o
Page 37 and 38: CT brain Irregular filling defect
Page 40 and 41: RHINOGENIC INTRACRANIAL SEPSIS
Page 44 and 45: Epidemiology Most common in males
Page 46 and 47: Etiology Otorhinolaryngeal infecti
Page 48 and 49: “Frequent use of broad spectrum a
Page 50 and 51: Pathogens Pus- sterile in 40% Use
Page 52 and 53: Investigation Infants: brain sonog
Page 54 and 55: Management Timing of surgery Simul
Page 61 and 62: Prognosis Early diagnosis and trea
Page 63 and 64:
Outcome Mortality- 100% before adv
Page 65 and 66:
Early drainage, simultaneous eradic
Page 67 and 68:
Lumbar Puncture L.P L.P performed i
Page 69 and 70:
DIAGNOSIS Infective sinustis Peri
Page 71 and 72:
Unlike SDE, EDE is a disease that s
Page 73 and 74:
INFRATENTORIAL EMPYEMA TREATMENT E
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RHINOGENIC AND OTOTIC INTRACRANIAL SUPPURATION

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