Abgrall S, De Broucker T, Gervaz E, Baril P, Henin D, Redondo A, Sangla S
Service de Neurologie, Hôpital Delafontaine, Saint-Denis.
Neurochirurgie. 1995;41(5):367-71.
Sinusonasal polyposis is frequent but usually benign. A 77-year-old woman with an history of sinusonasal polyps, presented with fever and neurologic impairment. Radiologic imaging showed a polypoïd mass filling the nose and sinuses, eroding the ethmoïd bone, progressing intracranially, and causing brain abscess. The literature is reviewed, according to the relations between brain abscess development and nasal polyposis, with emphasis on intracranial extension of sinusonasal polyps. Treatment of the nasal polyps, usually based on the use of local or general corticosteroïds, can avoid this serious complication.
鼻窦息肉病很常见,但通常为良性。一名77岁有鼻窦息肉病史的女性,出现发热和神经功能损害。影像学检查显示一个息肉样肿物充满鼻腔和鼻窦,侵蚀筛骨,向颅内进展并导致脑脓肿。根据脑脓肿形成与鼻息肉的关系对文献进行综述,重点关注鼻窦息肉的颅内扩展。鼻息肉的治疗通常基于局部或全身使用皮质类固醇,可避免这种严重并发症。