Sinusitis complicated by intracranial abscess in 3 patients with coronavirus disease 2019: illustrative cases.

Autor: Griffin S; 1Department of Neurosurgery, St. Louis University School of Medicine, St. Louis, Missouri; and., Cleary RT; 2Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri., Prim M; 1Department of Neurosurgery, St. Louis University School of Medicine, St. Louis, Missouri; and., Musgrave N; 1Department of Neurosurgery, St. Louis University School of Medicine, St. Louis, Missouri; and., Coppens JR; 1Department of Neurosurgery, St. Louis University School of Medicine, St. Louis, Missouri; and., Kemp J; 1Department of Neurosurgery, St. Louis University School of Medicine, St. Louis, Missouri; and.
Jazyk: angličtina
Zdroj: Journal of neurosurgery. Case lessons [J Neurosurg Case Lessons] 2023 Feb 06; Vol. 5 (6). Date of Electronic Publication: 2023 Feb 06 (Print Publication: 2023).
DOI: 10.3171/CASE22423
Abstrakt: Background: The novel coronavirus disease 2019 (COVID-19) can be associated with various neurological manifestations, including cerebrovascular disease, seizures, peripheral nerve disease, and encephalitis. Intracranial abscess related to COVID-19 is rare but illustrates a serious complication in the studied cases.
Observations: The authors report 3 cases of patients presenting with COVID-19 complicated by sinusitis with associated intracranial abscesses. Each patient underwent craniotomy with washout and sinus debridement during their hospital stay. All 3 patients improved to their baseline following treatment. Similar outcomes have been observed in other cases of intracranial abscess associated with COVID-19 infections.
Lessons: Patients achieved significant improvement following evacuation of the abscess and intravenous antibiotics. Further investigation is needed to determine treatment in relation to COVID-19, and the authors recommend following the standard treatment of intracranial abscess at this time.
Databáze: MEDLINE
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