[Early diagnosis and complex treatment of brain abscesses of paranasal sinus origin].

The article presents data on 22 inpatients with brain abscesses of rhinosinusogenic etiology who were treated at the Burdenko Institute of Neurosurgery. It was found important that X-ray examination of the paranasal sinuses be carried out in all patients of this group even if they present with no rhioscopic changes, which is explained by an elevated number of torpid and latent sinusites. To detect rhinosinusogenic brain abscesses at an early stage, examination including a series of such objective methods as EEG, Echo-EG, cerebral angiography, gamma-topography of the brain and computer-aided tomography was carried out. A multiple-modality treatment of brain abscesses of rhinosinusogenic etiology was employed: along with complete sanitization of the paranasal sinuses the patients received conservative therapy (antibacterial, antiinflammatory, dehydrational, detoxicational, roborant) combined with various neurosurgical interventions. Radical excision of the abscess together with the capsule was performed in 20 patients, and a puncture method was used in one case. As a result of this combined treatment 19 of the 22 patients in this series were cured and only 3 died.