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DIABETES INSIPIDUS AND OTHER UNUSUAL COMPLICATIONS OF ACUTE PURULENT SINUSITIS: Clinicopathologic Study of a Case

DIABETES INSIPIDUS AND OTHER UNUSUAL COMPLICATIONS OF ACUTE PURULENT SINUSITIS: Clinicopathologic... Abstract The neurologic complications of infection of the paranasal sinuses are numerous and include pachymeningitis externa and extradural abscess, pachymeningitis interna and subdural abscess, circumscribed leptomeningitis, protective meningitis, bacterial meningitis, brain abscess, nonsuppurative encephalitis, thrombophlebitis of the intracranial venous channels and involvement of many cranial nerves. These complications present frequently perplexing diagnostic and therapeutic problems, defying the combined efforts of the otorhinologist, the ophthalmologist and the neurologist. The reasons for these difficulties have been discussed previously by one of us (Yaskin1). In the case to be discussed in this paper there occurred, in addition to the rather common basilar meningitis, the unusual complications of osteomyelitis of the lesser wing of the sphenoid bone, rapidly progressive optic neuritis, partial thrombotic occlusion of one of the middle cerebral arteries, changes in the hypothalamus and transient diabetes insipidus. In addition, the type of cortical destruction produced by occlusion of the middle cerebral artery References 1. Yaskin, J. C.: Neurologic Complications of Infections of Temporal Bone and Paranasal Sinuses . Arch. Otolaryng. 30:157 ( (Aug.) )Crossref 2. 360 (Sept.) 1939. 3. Coates, G. M.: Personal communication to the authors. 4. Beevor, C. E.: On the Distribution of the Different Arteries Supplying the Human Brain , Phil. Tr. Roy. Soc., London, s.B 200:1, 1908.Crossref 5. Yaskin, J. C.: Localized Nonsuppurative Encephalitis Secondary to Infections of the Temporal Bone and Paranasal Sinuses , J. Nerv. & Ment. Dis. 92:281, 1940. 6. Foix, C., and Lévy, M.: Les ramollissements sylviens , Rev. neurol. 2:1, 1927. 7. Hiller, F., and Grinker, R. R.: Functional Circulatory Disturbances and Organic Obstruction of the Cerebral Blood Vessels , Arch. Neurol. & Psychiat. 23: 634 ( (April) ) 1930. 8. Heubner, J. B. O.: Die luetischen Erkrankungen der Gehirnarterien , Leipzig, F. C. W. Vogel, 1874. 9. Duret, H.: Quelques recherches récentes sur la circulation cérébrale , Encéphale 1:7, 1910. 10. Pfeiffer, R. A.: Die Angioarchitektonik der Gehirnrinde , Berlin, Julius Springer, 1928 11. Grundlegende Untersuchungen für die Angioarchitektonik des menschlichen Gehirns , Pfeiffer Die Angioarchitektonik der Gehirnrinde , 1930. 12. Cobb, S.: The Cerebral Circulation: XIII. The Question of "End-Arteries" of the Brain and the Mechanism of Infarction , Arch. Neurol. & Psychiat. 25:273 ( (Feb.) ) 1931. 13. Craigie, E. H.: Comparative Anatomy and Embryology of the Capillary Bed of the Central Nervous System , A. Research Nerv. & Ment. Dis., Proc. (1937) 18:3, 1938. 14. Freedom, L.: Angioarchitektonik , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1935, vol. 1, p. 779. 15. Sunderland, F.: The Production of Cortical Lesions by Devascularization of Cortical Areas , J. Anat. 73:120, 1938. 16. Dietrich, A., in Aschoff, L.: Pathologische Anatomie , ed. 6, Jena, Gustav Fischer, 1919, vol. 1, p. 493. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

DIABETES INSIPIDUS AND OTHER UNUSUAL COMPLICATIONS OF ACUTE PURULENT SINUSITIS: Clinicopathologic Study of a Case

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Publisher
American Medical Association
Copyright
Copyright © 1942 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1942.02290070129010
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Abstract

Abstract The neurologic complications of infection of the paranasal sinuses are numerous and include pachymeningitis externa and extradural abscess, pachymeningitis interna and subdural abscess, circumscribed leptomeningitis, protective meningitis, bacterial meningitis, brain abscess, nonsuppurative encephalitis, thrombophlebitis of the intracranial venous channels and involvement of many cranial nerves. These complications present frequently perplexing diagnostic and therapeutic problems, defying the combined efforts of the otorhinologist, the ophthalmologist and the neurologist. The reasons for these difficulties have been discussed previously by one of us (Yaskin1). In the case to be discussed in this paper there occurred, in addition to the rather common basilar meningitis, the unusual complications of osteomyelitis of the lesser wing of the sphenoid bone, rapidly progressive optic neuritis, partial thrombotic occlusion of one of the middle cerebral arteries, changes in the hypothalamus and transient diabetes insipidus. In addition, the type of cortical destruction produced by occlusion of the middle cerebral artery References 1. Yaskin, J. C.: Neurologic Complications of Infections of Temporal Bone and Paranasal Sinuses . Arch. Otolaryng. 30:157 ( (Aug.) )Crossref 2. 360 (Sept.) 1939. 3. Coates, G. M.: Personal communication to the authors. 4. Beevor, C. E.: On the Distribution of the Different Arteries Supplying the Human Brain , Phil. Tr. Roy. Soc., London, s.B 200:1, 1908.Crossref 5. Yaskin, J. C.: Localized Nonsuppurative Encephalitis Secondary to Infections of the Temporal Bone and Paranasal Sinuses , J. Nerv. & Ment. Dis. 92:281, 1940. 6. Foix, C., and Lévy, M.: Les ramollissements sylviens , Rev. neurol. 2:1, 1927. 7. Hiller, F., and Grinker, R. R.: Functional Circulatory Disturbances and Organic Obstruction of the Cerebral Blood Vessels , Arch. Neurol. & Psychiat. 23: 634 ( (April) ) 1930. 8. Heubner, J. B. O.: Die luetischen Erkrankungen der Gehirnarterien , Leipzig, F. C. W. Vogel, 1874. 9. Duret, H.: Quelques recherches récentes sur la circulation cérébrale , Encéphale 1:7, 1910. 10. Pfeiffer, R. A.: Die Angioarchitektonik der Gehirnrinde , Berlin, Julius Springer, 1928 11. Grundlegende Untersuchungen für die Angioarchitektonik des menschlichen Gehirns , Pfeiffer Die Angioarchitektonik der Gehirnrinde , 1930. 12. Cobb, S.: The Cerebral Circulation: XIII. The Question of "End-Arteries" of the Brain and the Mechanism of Infarction , Arch. Neurol. & Psychiat. 25:273 ( (Feb.) ) 1931. 13. Craigie, E. H.: Comparative Anatomy and Embryology of the Capillary Bed of the Central Nervous System , A. Research Nerv. & Ment. Dis., Proc. (1937) 18:3, 1938. 14. Freedom, L.: Angioarchitektonik , in Bumke, O., and Foerster, O.: Handbuch der Neurologie , Berlin, Julius Springer, 1935, vol. 1, p. 779. 15. Sunderland, F.: The Production of Cortical Lesions by Devascularization of Cortical Areas , J. Anat. 73:120, 1938. 16. Dietrich, A., in Aschoff, L.: Pathologische Anatomie , ed. 6, Jena, Gustav Fischer, 1919, vol. 1, p. 493.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Jul 1, 1942

References