TY - JOUR T1 - Brain Abscess Can Be a Catastrophic Complication Following Endoscopic Sinus Surgery: A Case Report AU - Öcal, Bülent AU - Bayır, Ömer AU - Türkoğlu, Erhan AU - Akan, Latif AU - Çadallı Tatar, Emel AU - Saka, Cem AU - Saylam, Güleser AU - Önerci, Tevfik Metin PY - 2024 DA - May DO - 10.5152/ejra.2024.23103 JF - European Journal of Rhinology and Allergy JO - Eur J Rhinol Allergy PB - Turkish Rhinology Society WT - DergiPark SN - 2636-8072 SP - 33 EP - 37 VL - 7 IS - 1 LA - en AB - Endoscopic sinus surgery (ESS)-associated risks mainly depend on the proximity of the sinuses to the orbit and anterior skull base. Skull base injuries are usually associated with dural tears and cerebrospinal fluidleaks, which are the leading causes of ascending meningitis and even brain abscesses. A 40-year-old man has a headache that came on suddenly and is an extremely painful, continuous headache accompanied by intermittent fatigue and blurred vision. The patient underwent ESS for chronic sinusitis 2 weeks ago at another hospital. Magneticresonance examination of the brain depicted abnormal hyperintensity within the left frontal lobe. These findings suggested the diagnosis of brain abscesses. The patient received an antibacterial treatment for 2 months. Finally, the patient recovered well. KW - Functional endoscopic sinus surgery KW - chronic rhinosinusitis KW - intraoperative complications KW - brain abscess CR - May M, Levine HL, Mester SJ, Schaitkin B. Complications of endoscopic sinus surgery: analysis of 2108 patients–incidence and prevention. Laryngoscope. 1994;104(9):1080-1083. CR - Keerl R, Stankiewicz J, Weber R, Hosemann W, Draf W. Surgical experience and complications during endonasal sinus surgery. Laryngoscope. 1999;109(4):546-550. CR - Ramakrishnan VR, Kingdom TT, Nayak JV, Hwang PH, Orlandi RR. Nationwide incidence of major complications in endoscopic sinus surgery. Int Forum Allergy Rhinol. 2012;2(1):34-39. CR - Krings JG, Kallogjeri D, Wineland A, Nepple KG, Piccirillo JF, Getz AE. Complications of primary and revision functional endoscopic sinus surgery for chronic rhinosinusitis. Laryngoscope. 2013;124(4):838-845. CR - Stankiewicz JA, Lal D, Connor M, Welch K. Complications in endoscopic sinus surgery for chronic rhinosinusitis: a 25 year experience. Laryngoscope. 2011;121(12):2684-2701. CR - Hopkins C, Slack R, Lund V, Brown P, Copley L, Browne J. Long-term outcomes from the English National comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Laryngoscope. 2009;119(12):2459-2465. CR - Asaka D, Nakayama T, Hama T, et al. Risk factors for complications of endoscopic sinus surgery for chronic rhinosinusitis. Am J Rhinol Allergy. 2012;26(1):61-64. CR - Daudia A, Biswas D, Jones NS. Risk of meningitis with cerebrospinal fluid rhinorrhea. Ann Otol Rhinol Laryngol. 2007;116(12):902-905. CR - Schoentgen C, Henaux PL, Godey B, Jegoux F. Management of post-traumatic cerbrospinal fluid (CSF) leaks of the anterior skull base. 10 year experience. Acta Otolaryngol. 2013;133(9):944-950. CR - van de Beek D, de Gans J, Tunkel AR, Wijdicks EF. Community acquired bacterial meningitis in adults. N Engl J Med. 2006;354(1):44-53. CR - Hegazy HM, Carrau RL, Snyderman CH, Kassam A, Zweig J. Transnasal endoscpic repair of cerebrospinal fluid rhinorrhea: a meta analysis. Laryngoscope. 2000;110(7):1166-1172. CR - London NR Jr, Mohyeldin A, Montaser AS, et al. Contributing factors for delayed postoperative cerebrospinal fluid leaks and suggested treatment algorithm. Int Forum Allergy Rhinol. 2020;10(6):779-784. CR - Mamelak AN, Mampalam TJ, Obana WG, Rosenblum ML. Improved management of multiple brain abscesses: a combined surgical and medical approach. Neurosurgery. 1995;36(1):76-85. CR - Brouwer MC, Tunkel AR, McKhann GM, van de Beek D. Brain abscess. N Engl J Med. 2014;371(5):447-456. UR - https://doi.org/10.5152/ejra.2024.23103 L1 - https://dergipark.org.tr/en/download/article-file/5396012 ER -