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ABSCESS OF THE FRONTAL LOBE SECONDARY TO ETHMOIDITIS

ABSCESS OF THE FRONTAL LOBE SECONDARY TO ETHMOIDITIS Abstract ABSCESS of the brain is a rare complication of sinusitis in general and an extremely rare complication of ethmoiditis in particular. In a series of 14,534 autopsies at the London Hospital, Evans1 found 194 cases of brain abscess, and in only 14 of these was the condition rhinogenic. Onodi2 reported 4 cases of rhinogenic brain abscess in a series of 13,400 autopsies, while Courville and Rosenvold3 reported 2 cases of brain abscess in their series of 15,000 autopsies. The vast majority of these abscesses were due to infection of the frontal sinus. In Eagleton's4 series of 104 abscesses of the frontal lobe, only 9 were due to infection limited to the ethmoid sinus. The author has found no record of brain abscess due to infection limited to the ethmoid sinus in the literature during the past seventeen years. Sinusitis is a very common medical entity, and References 1. Evans, W.: Pathology and Aetiology of Brain Abscess , Lancet 1:1231 ( (June 6) ); 1289 (June 13) 1931.Crossref 2. Onodi, A.: The Oculo-Orbital, Intra-Cranial and Cerebral Complications of Diseases of the Nasal Accessory Sinuses , Laryngoscope 19:801 ( (Nov.) ) 1909.Crossref 3. Courville, C. B., and Rosenvold, L. K.: Intracranial Complications of Infections of Nasal Cavities and Accessory Sinuses: Survey of Lesions Observed in Fifteen Thousand Autopsies , Arch. Otolaryng. 27:692 ( (June) ) 1938.Crossref 4. Eagleton, W. P.: Brain Abscess: Its Surgical Pathology and Operative Technic , New York, The Macmillan Company, 1922, pp. 23 and 249. 5. Dreyfuss, R.: Zur pathologischen Anatomie der Brustdrüse: Die Krankheiten des Gehirns und seiner Adnepa in Gefolge von Naseneiterungen , Jena, G. Fischer, 1896, pp. 45 and 46. 6. McKinney, R.: Osteomyelitis of the Frontal Bone , Arch. Otolaryng. 28:1 ( (July) ) 1938.Crossref 7. Rugg Gunn, M. A., and Suggitt, S. C.: Brain Abscess , J. Laryng. & Otol. 57:55 ( (Feb.) ) 1942. 8. Maxwell, D.: Analysis of the Statistical Tables for the Years 1907 to 1926 Inclusive, Covering a Period of Twenty Years , J. Laryng. & Otol. 44:105 ( (Feb.) ) 1929. 9. Van Alyea, O. E.: Ethmoid Labyrinth: Anatomic Study with Consideration of the Clinical Significance of Its Structural Characteristics , Arch. Otolaryng. 29:881 ( (June) ) 1939. 10. Schaeffer, J. P.: The Nose, Paranasal Sinuses, Nasolacrimal Passageways and Olfactory Organ in Man , Philadelphia, P. Blakiston's Sons & Co., 1930. 11. Kramer, R., and Som, M. L.: Intracranial Pathways of Infection from Diseases of the Sphenoid and Ethmoid Sinuses , Arch. Otolaryng. 32:744 ( (Oct.) ) 1940. 12. Alpers, B. J.: Abscess of the Brain: Relation of the Histologic to the Clinical Features , Arch. Otolaryng. 29:199 ( (Feb.) ) 1939. 13. Kaplan, A.: Abscess of the Brain , Arch. Otolaryng. 29:385 ( (April) ) 1935. 14. Atkinson, M.: Otogenous Cerebellar Abscess , Ann. Otol., Rhin. & Laryng. 47:1020 ( (Dec.) ) 1938. 15. Craig, W. M., and Adson, A. W.: Abscess of the Brain , S. Clin. North America 17:1077 ( (Aug.) ) 1937. 16. Grant, F. C.: Brain Abscess: Collective Review , Internat. Abstr. Surg. 72:118, 1941 17. Surg., Gynec. & Obst. , (February) 1941. 18. Davidoff, L. M.: Brain Abscess , Clinics 4:343 ( (Aug.) ) 1945. 19. Kleinfeld, L.: Abscess of Frontal Lobe Secondary to Frontal Sinusitis , J. Mt. Sinai Hosp. 9:96 ( (July) -Aug.) 1942. 20. Cavenagh, J. B.: A Case of Left Frontal Lobe Abscess Complicating Chronic Sinus Infection , J. Laryng. & Otol. 51:239 ( (April) ) 1936. 21. Bertolet, J. A.: Atypical Massive Abscess of Frontal Lobe , Arch. Otolaryng. 28:621 ( (Oct.) ) 1938. 22. Smith, G. W.: Clinical Observations on Twenty Proven Cases of Brain Abscess , U. S. Nav. M. Bull. 38:358 ( (July) ) 1940. 23. King, J. E. J.: Symposium on Brain Abscess , Laryngoscope 50:1146 ( (Dec.) ) 1940. 24. Kaplan, A.: Symposium on Brain Abscess , Laryngoscope 50:1159 ( (Dec.) ) 1940. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

ABSCESS OF THE FRONTAL LOBE SECONDARY TO ETHMOIDITIS

Archives of Otolaryngology , Volume 49 (2) – Feb 1, 1949

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References (21)

Publisher
American Medical Association
Copyright
Copyright © 1949 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1949.03760080003001
Publisher site
See Article on Publisher Site

Abstract

Abstract ABSCESS of the brain is a rare complication of sinusitis in general and an extremely rare complication of ethmoiditis in particular. In a series of 14,534 autopsies at the London Hospital, Evans1 found 194 cases of brain abscess, and in only 14 of these was the condition rhinogenic. Onodi2 reported 4 cases of rhinogenic brain abscess in a series of 13,400 autopsies, while Courville and Rosenvold3 reported 2 cases of brain abscess in their series of 15,000 autopsies. The vast majority of these abscesses were due to infection of the frontal sinus. In Eagleton's4 series of 104 abscesses of the frontal lobe, only 9 were due to infection limited to the ethmoid sinus. The author has found no record of brain abscess due to infection limited to the ethmoid sinus in the literature during the past seventeen years. Sinusitis is a very common medical entity, and References 1. Evans, W.: Pathology and Aetiology of Brain Abscess , Lancet 1:1231 ( (June 6) ); 1289 (June 13) 1931.Crossref 2. Onodi, A.: The Oculo-Orbital, Intra-Cranial and Cerebral Complications of Diseases of the Nasal Accessory Sinuses , Laryngoscope 19:801 ( (Nov.) ) 1909.Crossref 3. Courville, C. B., and Rosenvold, L. K.: Intracranial Complications of Infections of Nasal Cavities and Accessory Sinuses: Survey of Lesions Observed in Fifteen Thousand Autopsies , Arch. Otolaryng. 27:692 ( (June) ) 1938.Crossref 4. Eagleton, W. P.: Brain Abscess: Its Surgical Pathology and Operative Technic , New York, The Macmillan Company, 1922, pp. 23 and 249. 5. Dreyfuss, R.: Zur pathologischen Anatomie der Brustdrüse: Die Krankheiten des Gehirns und seiner Adnepa in Gefolge von Naseneiterungen , Jena, G. Fischer, 1896, pp. 45 and 46. 6. McKinney, R.: Osteomyelitis of the Frontal Bone , Arch. Otolaryng. 28:1 ( (July) ) 1938.Crossref 7. Rugg Gunn, M. A., and Suggitt, S. C.: Brain Abscess , J. Laryng. & Otol. 57:55 ( (Feb.) ) 1942. 8. Maxwell, D.: Analysis of the Statistical Tables for the Years 1907 to 1926 Inclusive, Covering a Period of Twenty Years , J. Laryng. & Otol. 44:105 ( (Feb.) ) 1929. 9. Van Alyea, O. E.: Ethmoid Labyrinth: Anatomic Study with Consideration of the Clinical Significance of Its Structural Characteristics , Arch. Otolaryng. 29:881 ( (June) ) 1939. 10. Schaeffer, J. P.: The Nose, Paranasal Sinuses, Nasolacrimal Passageways and Olfactory Organ in Man , Philadelphia, P. Blakiston's Sons & Co., 1930. 11. Kramer, R., and Som, M. L.: Intracranial Pathways of Infection from Diseases of the Sphenoid and Ethmoid Sinuses , Arch. Otolaryng. 32:744 ( (Oct.) ) 1940. 12. Alpers, B. J.: Abscess of the Brain: Relation of the Histologic to the Clinical Features , Arch. Otolaryng. 29:199 ( (Feb.) ) 1939. 13. Kaplan, A.: Abscess of the Brain , Arch. Otolaryng. 29:385 ( (April) ) 1935. 14. Atkinson, M.: Otogenous Cerebellar Abscess , Ann. Otol., Rhin. & Laryng. 47:1020 ( (Dec.) ) 1938. 15. Craig, W. M., and Adson, A. W.: Abscess of the Brain , S. Clin. North America 17:1077 ( (Aug.) ) 1937. 16. Grant, F. C.: Brain Abscess: Collective Review , Internat. Abstr. Surg. 72:118, 1941 17. Surg., Gynec. & Obst. , (February) 1941. 18. Davidoff, L. M.: Brain Abscess , Clinics 4:343 ( (Aug.) ) 1945. 19. Kleinfeld, L.: Abscess of Frontal Lobe Secondary to Frontal Sinusitis , J. Mt. Sinai Hosp. 9:96 ( (July) -Aug.) 1942. 20. Cavenagh, J. B.: A Case of Left Frontal Lobe Abscess Complicating Chronic Sinus Infection , J. Laryng. & Otol. 51:239 ( (April) ) 1936. 21. Bertolet, J. A.: Atypical Massive Abscess of Frontal Lobe , Arch. Otolaryng. 28:621 ( (Oct.) ) 1938. 22. Smith, G. W.: Clinical Observations on Twenty Proven Cases of Brain Abscess , U. S. Nav. M. Bull. 38:358 ( (July) ) 1940. 23. King, J. E. J.: Symposium on Brain Abscess , Laryngoscope 50:1146 ( (Dec.) ) 1940. 24. Kaplan, A.: Symposium on Brain Abscess , Laryngoscope 50:1159 ( (Dec.) ) 1940.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Feb 1, 1949

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