THE MULTIMODAL APPROACH OF THE PATIENT WITH ACUTE SINUSITIS, WITH OR WITHOUT INTRACEREBRAL COMPLICATIONS

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Mihaela Roxana Popescu, Bogdan Dobrovat, Emilia Marciuc, Stefania Hilohi, Cristina Antohi,Claudia Costea, Andrei Cucu,Nemtoi Alexandru, Danisia Haba

ABSTRACT

Despite recent advances in medical and surgical therapies for sinusitis, intracranial suppurative complications of sinusitis remain a contemporary challenge. We present a series of 10 cases diagnosed with sinusitis on computed tomography or MRI from which 2 patients also had intracerebral complications like brain abscess or subdural empyema. In conclusions, the noncontrast axial/coronal computed tomographic views reconstructed in bone-window can define very precisely the sinus anatomy, but MRI has more advantages than other imaging modalities becauseof its excellent soft tissue contrast. For the evaluation of regions containing predominantly soft tissue structures,like cerebral parenchyma, MRI is superior to CT. 

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