Sphenoid sinusitis: a rare cause of ischaemic stroke.

Szczegóły
Abstrakt

Tytuł:: Sphenoid sinusitis: a rare cause of ischaemic stroke.
Autorzy:: Young KS; York Hospital, Health Education England Yorkshire and Humber, Leeds, UK .
Kiam JS; Ear Nose and Throat Department, Norfolk and Norwich University Hospital, Norwich, UK.
Metcalf K; Neurosciences, Norfolk and Norwich University Hospitals NHS Trust, Norwich, Norfolk, UK.
Nassif R; Ear Nose and Throat Department, Norfolk and Norwich University Hospital, Norwich, UK.
Źródło:: BMJ case reports [BMJ Case Rep] 2021 Oct 04; Vol. 14 (10). Date of Electronic Publication: 2021 Oct 04.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Original Publication: London : BMJ Pub. Group
MeSH Terms:: Brain Ischemia*/etiology
Ischemic Stroke*
Sphenoid Sinusitis*/diagnosis
Sphenoid Sinusitis*/diagnostic imaging
Stroke*/etiology
Female ; Humans ; Middle Aged ; Tomography, X-Ray Computed
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Contributed Indexing:: Keywords: ear; medical management; nose and throat/otolaryngology; stroke
Entry Date(s):: Date Created: 20211005 Date Completed: 20211006 Latest Revision: 20231005
Update Code:: 20240105
PubMed Central ID:: PMC8491291
DOI:: 10.1136/bcr-2021-242943
PMID:: 34607813
: Czasopismo naukowe

We present the case of a 61-year-old woman who presented to the accident and emergency department with an ischaemic stroke, on a background of receiving intravenous and oral antibiotics to treat chronic left sphenoid sinusitis. Initially presenting with right-sided weakness and aphasia, a diagnosis of acute ischaemic stroke was made. Antibiotics had been commenced 1 month prior to the ischaemic stroke. Imaging at that time showed changes in keeping with chronic sphenoid sinusitis along with a small dehiscence in the lateral wall of the left sphenoid sinus and thrombosis of the left superior ophthalmic vein. During that admission blood cultures grew Streptococcus constellatus , a member of the Streptococcus milleri group. We discuss the unusual aetiology of this stroke, the emerging evidence associating chronic rhinosinusitis with stroke and the complex multidisciplinary approach required for management in this case.
Competing Interests: Competing interests: None declared.
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