Bijou Walid, Oukessou Youssef, Larhrabli Ibtissam, Rouadi Sami, Abada Reda, Mahtar Mohammed
ENT Department, Face and Neck Surgery, Hospital August, 20'1953, University Hospital Center IBN ROCHD, Hassan II University, Casablanca, Morocco.
Childs Nerv Syst. 2023 May;39(5):1357-1360. doi: 10.1007/s00381-022-05820-0. Epub 2023 Jan 27.
Isolated sphenoidal sinusitis is an uncommon cause of headaches in children and adolescents. Recognizing the condition on physical examination alone can be challenging, and delayed diagnosis often occurs.
A 4-year-old child presented with symptoms of headache, fever, and vomiting. Nasal endoscopy, computed tomography (CT), and magnetic resonance imaging (MRI) were used to confirm the diagnosis of isolated sphenoiditis. The patient was treated with antibiotics and steroids. However, the patient developed meningoencephalitis as a complication of the untreated isolated sphenoiditis.
Isolated sphenoidal sinusitis can lead to serious complications if left untreated. Adjunctive imaging and prompt treatment are essential to prevent such complications in children and adolescents. This case highlights the importance of considering isolated sphenoiditis in the differential diagnosis of pediatric headaches and the need for early diagnosis and treatment.
孤立性蝶窦炎是儿童和青少年头痛的罕见原因。仅通过体格检查来识别这种情况具有挑战性，且常发生诊断延迟。
一名4岁儿童出现头痛、发热和呕吐症状。通过鼻内镜检查、计算机断层扫描（CT）和磁共振成像（MRI）确诊为孤立性蝶窦炎。该患者接受了抗生素和类固醇治疗。然而，患者因未治疗的孤立性蝶窦炎而并发了脑膜脑炎。
孤立性蝶窦炎若不治疗可导致严重并发症。辅助成像检查和及时治疗对于预防儿童和青少年的此类并发症至关重要。本病例强调了在小儿头痛的鉴别诊断中考虑孤立性蝶窦炎的重要性以及早期诊断和治疗的必要性。
