RHINOGENIC AND OTOTIC INTRACRANIAL SUPPURATION

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2 cm x 1 cm CAVERNOUS SINUS Located on each of sella turcica and body of sphenoid bone Superior orbital fissure to apex of petrous bone
ANATOMY Facial veins connect with the cavernous sinus via ophthalmic veins Thrombophlebitis of cavernous sinus can spread to superior and inferior petrosal sinuses
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 and 12: INVESTIGATION Hematological: ↑
Page 13 and 14: MANAGEMENT (cont) 25/06/08: Crania
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: 4/18/2011 31
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

RHINOGENIC AND OTOTIC INTRACRANIAL SUPPURATION

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